VIVIAN MARGARET LEE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

Title

DMD

First Name

VIVIAN

Middle

MARGARET

Last Name

LEE

Business Name

VIVIAN MARGARET LEE DMD

Original Issue Date

07/29/2024

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024