HAEJIN LEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

HAEJIN

Last Name

LEE

Suffix

DDS

Business Name

HAEJIN LEE DDS

Original Issue Date

05/08/1998

Effective Date

05/08/1998

Expiration Date

09/30/2002

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005