THOMAS W WONG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000167

License Status

NOT RENEWED

Business

First Name

THOMAS W

Last Name

WONG

Suffix

DMD

Business Name

THOMAS W WONG DMD

Original Issue Date

06/16/1987

Effective Date

06/16/1987

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005