ALICE WANSHIN HSIEH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

ALICE

Middle

WANSHIN

Last Name

HSIEH

Suffix

DDS

Business Name

ALICE WANSHIN HSIEH DDS

Original Issue Date

03/04/2014

Effective Date

03/04/2014

Expiration Date

09/30/2015

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016