CLARA LEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

CLARA

Last Name

LEE

Suffix

DDS

Business Name

CLARA LEE DDS

Original Issue Date

09/02/1999

Effective Date

09/02/1999

Expiration Date

09/30/2000

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005