FU-KYONG BAI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

FU-KYONG

Last Name

BAI

Suffix

DDS

Business Name

FU-KYONG BAI DDS

Original Issue Date

01/06/1994

Effective Date

01/06/1994

Expiration Date

09/30/1994

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005