LESLIE H YUAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

YUAN

Business Name

LESLIE H YUAN

Original Issue Date

07/24/2014

Effective Date

07/24/2014

Expiration Date

09/30/2015

City

LANSING

State

Zip

60438

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016