PETER YOUNG LEE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

PETER

Middle

YOUNG

Last Name

LEE

Suffix

DMD

Business Name

PETER YOUNG LEE DMD

Original Issue Date

04/04/2002

Effective Date

04/04/2002

Expiration Date

09/30/2004

City

GREAT LAKE

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005