ANH SOH LA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

ANH

Middle

SOH

Last Name

Business Name

ANH SOH LA

Original Issue Date

08/26/2019

Effective Date

12/06/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025