KYRA DAWN LEE - Dentist License in Illinois | # 137000535

KYRA DAWN LEE

Business Entity

CANCELLED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000535

License Status

CANCELLED

Business

N

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

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

10/17/2005