SHUI C IP Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

SHUI C

Last Name

Business Name

SHUI C IP

Original Issue Date

10/10/1984

Effective Date

10/10/1984

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60636

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005