TERENCE MAH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

TERENCE

Last Name

MAH

Suffix

DDS

Business Name

TERENCE MAH DDS

Original Issue Date

12/30/1996

Effective Date

12/30/1996

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005