ANDREW T LAI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

LAI

Suffix

DDS

Business Name

ANDREW T LAI DDS

Original Issue Date

01/15/2004

Effective Date

01/15/2004

Expiration Date

09/30/2004

City

COBDEN

State

Zip

62920

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005