LENH SOI PHUI DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

CANCELLED

Business

First Name

LENH

Middle

SOI

Last Name

PHUI

Suffix

DDS

Business Name

LENH SOI PHUI DDS

Original Issue Date

08/03/2000

Effective Date

08/03/2000

Expiration Date

09/30/2002

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005