KEVIN WANXIN LUAN 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

KEVIN

Middle

WANXIN

Last Name

LUAN

Business Name

KEVIN WANXIN LUAN

Original Issue Date

10/23/2017

Effective Date

10/23/2017

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018