THAO NHU KIEU-MEHLHOFF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

Title

DDS

First Name

THAO

Middle

NHU

Last Name

KIEU-MEHLHOFF

Business Name

THAO NHU KIEU-MEHLHOFF DDS

Original Issue Date

08/25/2014

Effective Date

08/25/2014

Expiration Date

09/30/2015

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016