HARRISON SIU DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002010

License Status

EXPIRED

Business

Title

DDS

First Name

HARRISON

Last Name

SIU

Business Name

HARRISON SIU DDS

Original Issue Date

08/01/2016

Effective Date

08/15/2016

Expiration Date

05/15/2019

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

07/18/2019