MARY HA DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

CANCELLED

Business

First Name

MARY

Last Name

Suffix

DDS

Business Name

MARY HA DDS

Original Issue Date

06/08/1989

Effective Date

06/08/1989

Expiration Date

09/30/1992

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005