PAUL WAILEE TSE

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****32

NOT RENEWED

N

PAUL WAILEE

TSE

PAUL WAILEE TSE

10/15/1985

10/15/1985

09/30/1994

CHICAGO

IL

60623

COOK

II III IV V

N

10/13/2005