MELINDA Y CHAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

Last Name

CHAN

Suffix

DDS

Business Name

MELINDA Y CHAN DDS

Original Issue Date

07/26/2011

Effective Date

07/26/2011

Expiration Date

09/30/2012

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012