TOM CHAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

TOM

Last Name

CHAN

Suffix

DDS

Business Name

TOM CHAN DDS

Original Issue Date

08/17/1998

Effective Date

08/21/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024