LORETTA CHUN DAVIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

LORETTA CHUN

Last Name

DAVIS

Suffix

DDS

Business Name

LORETTA CHUN DAVIS DDS

Original Issue Date

04/21/2008

Effective Date

09/21/2009

Expiration Date

09/30/2012

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012