GRACE HAEYUN LEE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

HAEYUN

Last Name

LEE

Business Name

GRACE HAEYUN LEE

Original Issue Date

09/09/2004

Effective Date

06/25/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022