RUSSELL VEN CHAU FU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

Title

DDS

First Name

RUSSELL

Middle

VEN CHAU

Last Name

Business Name

RUSSELL VEN CHAU FU DDS

Original Issue Date

10/17/2007

Effective Date

07/29/2015

Expiration Date

09/30/2018

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018