CHIA-YU L SU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026748

License Status

NOT RENEWED

Business

First Name

CHIA-YU

Middle

Last Name

Suffix

DDS

Business Name

CHIA-YU L SU DDS

Original Issue Date

05/27/2005

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2010