SAMUEL JUN LEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

Title

DDS

First Name

SAMUEL

Middle

JUN

Last Name

LEE

Business Name

SAMUEL JUN LEE DDS

Original Issue Date

08/09/2019

Effective Date

08/09/2019

Expiration Date

01/31/2022

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022