PHILIP GIA-MINH KHNG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

GIA-MINH

Last Name

KHNG

Business Name

PHILIP GIA-MINH KHNG

Original Issue Date

05/20/2002

Effective Date

05/20/2002

Expiration Date

09/30/2004

City

DUNLAP

State

Zip

61525

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005