SAMSON TAK LIU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

Title

DDS

First Name

SAMSON

Middle

TAK

Last Name

LIU

Business Name

SAMSON TAK LIU DDS

Original Issue Date

01/25/2000

Effective Date

01/25/2000

Expiration Date

09/30/2000

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005