LILY KEN LAIJ DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018531

License Status

INACTIVE

Business

First Name

LILY

Middle

KEN

Last Name

LAIJ

Suffix

DDS

Business Name

LILY KEN LAIJ DDS

Original Issue Date

07/13/1983

Effective Date

08/29/2018

Expiration Date

12/31/2021

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

12/31/2021