KYRA DAWN LEE Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000535

License Status

CANCELLED

Business

First Name

KYRA

Middle

DAWN

Last Name

LEE

Business Name

KYRA DAWN LEE

Original Issue Date

09/28/2001

Effective Date

09/28/2001

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005