MICHAEL L YANG

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****29

NOT RENEWED

N

MICHAEL L

YANG

MICHAEL L YANG

02/05/1987

02/05/1987

09/30/1988

BELLEVILLE

IL

62223

SAINT CLAIR

II III IV V

N

10/13/2005