CAROLYN QUAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

Title

DDS

First Name

CAROLYN

Last Name

QUAN

Business Name

CAROLYN QUAN DDS

Original Issue Date

07/11/2023

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/10/2024