ANTHONY K Y SUR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

ANTHONY K Y

Last Name

SUR

Suffix

DDS

Business Name

ANTHONY K Y SUR DDS

Original Issue Date

09/06/1983

Effective Date

09/06/1983

Expiration Date

09/30/1986

City

JOLIET

State

Zip

60436

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005