TOMMY HEEMOK LEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

TOMMY

Middle

HEEMOK

Last Name

LEE

Suffix

DDS

Business Name

TOMMY HEEMOK LEE DDS

Original Issue Date

08/08/2005

Effective Date

08/08/2005

Expiration Date

09/30/2006

City

CHARLESTON

State

Zip

61920

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006