ANTHONY LIEU - Dentist License in Illinois | # 018001594

ANTHONY LIEU

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001594

License Status

EXPIRED

Business

N

First Name

ANTHONY

Last Name

LIEU

Business Name

ANTHONY LIEU

Original Issue Date

06/27/2006

Effective Date

06/27/2006

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

07/03/2007