FANG-YU SU Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032873

License Status

INACTIVE

Business

First Name

FANG-YU

Last Name

Business Name

FANG-YU SU

Original Issue Date

08/10/2020

Effective Date

08/10/2020

Expiration Date

12/31/2021

City

PHILADELPHIA

State

Zip

19106

Ever Disciplined

LastModifiedDate

10/04/2021