MIMI KN HOANG DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

CANCELLED

Business

First Name

MIMI

Middle

Last Name

HOANG

Suffix

DDS

Business Name

MIMI KN HOANG DDS

Original Issue Date

11/12/2002

Effective Date

11/12/2002

Expiration Date

09/30/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006