DUC LE DMD

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****68

ACTIVE

N

DMD

DUC

LE

DUC LE DMD

09/27/2023

08/27/2024

09/30/2027

LISLE

IL

60532

PRACTITIONER

II III IV V

N

08/27/2024