TIMOTHY MIN-NIEN LEE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

MIN-NIEN

Last Name

LEE

Business Name

TIMOTHY MIN-NIEN LEE

Original Issue Date

03/29/1989

Effective Date

03/29/1989

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005