KYRA DAWN LEE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001169

License Status

NOT RENEWED

Business

First Name

KYRA

Middle

DAWN

Last Name

LEE

Business Name

KYRA DAWN LEE

Original Issue Date

06/16/1999

Effective Date

06/16/1999

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005