CHARISMA L LUAT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

CHARISMA

Middle

Last Name

LUAT

Suffix

DDS

Business Name

CHARISMA L LUAT DDS

Original Issue Date

04/10/2000

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016