SU IN HAN DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001709

License Status

CANCELLED

Business

First Name

Middle

Last Name

HAN

Suffix

DMD

Business Name

SU IN HAN DMD

Original Issue Date

08/22/2008

Effective Date

08/01/2008

Expiration Date

07/31/2009

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

08/05/2009