LIEN THI LE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000640

License Status

ACTIVE

Business

First Name

LIEN

Middle

THI

Last Name

Suffix

DDS

Business Name

LIEN THI LE DDS

Original Issue Date

03/04/2005

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/17/2024