ANNA LEE - Dentist License in Illinois | # 31*****54

ANNA LEE

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

N

First Name

ANNA

Last Name

LEE

Business Name

ANNA LEE

Original Issue Date

08/02/2010

Effective Date

08/02/2010

Expiration Date

09/30/2012

City

LINDENHURST

State

IL

Zip

60046

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/14/2012