VU V MAI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

MAI

Suffix

DDS

Business Name

VU V MAI DDS

Original Issue Date

05/18/1998

Effective Date

05/18/1998

Expiration Date

09/30/2002

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005