MAUON SIMMOND LEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

MAUON SIMMOND

Last Name

LEE

Suffix

DDS

Business Name

MAUON SIMMOND LEE DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

PEORIA

State

Zip

61605

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005