CHIA CHEN CHI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

CHIA CHEN

Last Name

CHI

Suffix

DMD

Business Name

CHIA CHEN CHI DMD

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

09/30/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006