ERIC T YUAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

YUAN

Suffix

DDS

Business Name

ERIC T YUAN DDS

Original Issue Date

07/30/2003

Effective Date

07/30/2003

Expiration Date

09/30/2004

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005