AN THIEN DOAN VU DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

Title

DDS

First Name

Middle

THIEN DOAN

Last Name

Business Name

AN THIEN DOAN VU DDS

Original Issue Date

09/04/2019

Effective Date

05/19/2024

Expiration Date

09/30/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2024