LULU LI DDS 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

LULU

Last Name

Suffix

DDS

Business Name

LULU LI DDS

Original Issue Date

09/23/2010

Effective Date

09/23/2010

Expiration Date

09/30/2012

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/14/2012