HAI TAO LOO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

HAI TAO

Last Name

LOO

Business Name

HAI TAO LOO

Original Issue Date

10/18/1988

Effective Date

10/18/1988

Expiration Date

09/30/1994

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005