MIN YOUNG AN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

Title

DMD

First Name

MIN

Middle

YOUNG

Last Name

Business Name

MIN YOUNG AN DMD

Original Issue Date

09/13/2017

Effective Date

11/15/2021

Expiration Date

09/30/2024

City

CHATHAM

State

Zip

62629

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025