BYOUNG KWAN BANG DDS - Dentist License in Illinois | # 018001512

BYOUNG KWAN BANG DDS

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001512

License Status

ACTIVE

Business

N

First Name

BYOUNG

Middle

KWAN

Last Name

BANG

Suffix

DDS

Business Name

BYOUNG KWAN BANG DDS

Original Issue Date

09/29/2004

Effective Date

09/29/2004

Expiration Date

01/31/3004

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005