LIEN THI LE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

LIEN

Middle

THI

Last Name

Suffix

DDS

Business Name

LIEN THI LE DDS

Original Issue Date

06/28/2004

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024