CHIA-YU L SU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000668

License Status

NOT RENEWED

Business

First Name

CHIA-YU

Middle

Last Name

Suffix

DDS

Business Name

CHIA-YU L SU DDS

Original Issue Date

08/01/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

11/04/2009