GYEONG SU LEE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

GYEONG SU

Last Name

LEE

Business Name

GYEONG SU LEE

Original Issue Date

10/11/1985

Effective Date

10/11/1985

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005