SANGLIM LEE PETERS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

SANGLIM

Middle

LEE

Last Name

PETERS

Suffix

DMD

Business Name

SANGLIM LEE PETERS DMD

Original Issue Date

08/07/2000

Effective Date

08/07/2000

Expiration Date

09/30/2006

City

CHATHAM

State

Zip

62629

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006