KYRA DAWN LEE Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

CANCELLED

Business

First Name

KYRA

Middle

DAWN

Last Name

LEE

Business Name

KYRA DAWN LEE

Original Issue Date

07/13/2001

Effective Date

07/13/2001

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005