DAN FONG DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022396

License Status

INACTIVE

Business

Title

DDS

First Name

DAN

Last Name

FONG

Business Name

DAN FONG DDS

Original Issue Date

02/26/1991

Effective Date

02/26/1991

Expiration Date

09/30/1998

City

APO

State

Zip

09086

Ever Disciplined

LastModifiedDate

10/12/2005