KIET H LAM DDS - Dentist License in Illinois | # 018001160

KIET H LAM DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001160

License Status

NOT RENEWED

Business

N

First Name

KIET

Middle

H

Last Name

LAM

Suffix

DDS

Business Name

KIET H LAM DDS

Original Issue Date

06/08/1999

Effective Date

06/08/1999

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005