CHIA-YU L SU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

CHIA-YU

Middle

Last Name

Suffix

DDS

Business Name

CHIA-YU L SU DDS

Original Issue Date

08/02/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009