JACK TSUNG LEE LIU - Dentist License in Illinois | # 019019227

JACK TSUNG LEE LIU

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019227

License Status

NOT RENEWED

Business

N

First Name

JACK

Middle

TSUNG LEE

Last Name

LIU

Business Name

JACK TSUNG LEE LIU

Original Issue Date

08/20/1984

Effective Date

06/24/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018