CHUAN LI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

CHUAN

Last Name

Suffix

DMD

Business Name

CHUAN LI DMD

Original Issue Date

02/09/2010

Effective Date

02/09/2010

Expiration Date

09/30/2012

City

MADISON

State

Zip

53719

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012