VICTOR SUMIO IZUI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

VICTOR SUMIO

Last Name

IZUI

Business Name

VICTOR SUMIO IZUI

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/13/2005