DAVID WAI KEY CHAN DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****73

NOT RENEWED

N

DAVID WAI KEY

CHAN

DDS

DAVID WAI KEY CHAN DDS

01/01/1998

09/30/1986

CHICAGO

IL

60628

COOK

II III IV V

N

10/13/2005