MOON SOO LEE - Dentist License in Wisconsin | # 31*****39

MOON SOO LEE

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

N

First Name

MOON SOO

Last Name

LEE

Business Name

MOON SOO LEE

Original Issue Date

12/24/1986

Effective Date

12/24/1986

Expiration Date

09/30/1990

State

WI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/13/2005