DANIEL LEW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013267

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

LEW

Suffix

DDS

Business Name

DANIEL LEW DDS

Original Issue Date

12/07/1967

Effective Date

12/07/1967

Expiration Date

09/30/1984

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/12/2005