DORIS JUNG SAN LIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

Title

DDS

First Name

DORIS

Middle

JUNG SAN

Last Name

LIN

Business Name

DORIS JUNG SAN LIN DDS

Original Issue Date

08/20/2014

Effective Date

08/20/2014

Expiration Date

09/30/2015

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016