MARY HA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

Suffix

DDS

Business Name

MARY HA DDS

Original Issue Date

08/08/1988

Effective Date

08/08/1988

Expiration Date

09/30/1990

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005