TAILEE MARIO TSE 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

TAILEE MARIO

Last Name

TSE

Suffix

DDS

Business Name

TAILEE MARIO TSE DDS

Original Issue Date

10/23/1981

Effective Date

10/23/1981

Expiration Date

09/30/1984

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005