VALINTHORN LAOHAVIRAPHAB DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

Title

DDS

First Name

VALINTHORN

Last Name

LAOHAVIRAPHAB

Business Name

VALINTHORN LAOHAVIRAPHAB DDS

Original Issue Date

08/26/2016

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022