LUCY TAN WHITE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

LUCY TAN

Last Name

WHITE

Business Name

LUCY TAN WHITE

Original Issue Date

11/08/1982

Effective Date

11/08/1982

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005