MICHELLE FAYE AI-KOON GOH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHELLE

Middle

FAYE AI-KOON

Last Name

GOH

Business Name

MICHELLE FAYE AI-KOON GOH DDS

Original Issue Date

10/20/2016

Effective Date

10/20/2016

Expiration Date

09/30/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018