PAUL KYU IHN RENNER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

Title

DDS

First Name

PAUL

Middle

KYU IHN

Last Name

RENNER

Business Name

PAUL KYU IHN RENNER DDS

Original Issue Date

10/06/2017

Effective Date

06/14/2018

Expiration Date

01/31/2022

City

WAUKESHA

State

Zip

53188

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022