DANIEL I CHIN JR Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

CANCELLED

Business

First Name

DANIEL

Middle

Last Name

CHIN

Suffix

Business Name

DANIEL I CHIN JR

Original Issue Date

04/25/2006

Effective Date

06/30/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2018