CHUAN LI DMD - Dentist License in Wisconsin | # 31*****08

CHUAN LI DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

N

First Name

CHUAN

Last Name

LI

Suffix

DMD

Business Name

CHUAN LI DMD

Original Issue Date

02/09/2010

Effective Date

02/09/2010

Expiration Date

09/30/2012

State

WI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/14/2012