JUDY CHIA-CHUN YUAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

JUDY

Middle

CHIA-CHUN

Last Name

YUAN

Suffix

DDS

Business Name

JUDY CHIA-CHUN YUAN DDS

Original Issue Date

12/20/2007

Effective Date

06/19/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022