SARAH TIEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

SARAH

Last Name

TIEN

Business Name

SARAH TIEN

Original Issue Date

07/14/2015

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60657

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022