KYRA DAWN LEE - Dentist License in Illinois | # 018001169

KYRA DAWN LEE

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001169

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005