DANIEL LEW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

LEW

Suffix

DDS

Business Name

DANIEL LEW DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005