ANNA LEE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028359

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

LEE

Business Name

ANNA LEE

Original Issue Date

06/15/2010

Effective Date

06/15/2010

Expiration Date

09/30/2012

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

11/14/2012