LYNDON D FONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000337

License Status

NOT RENEWED

Business

First Name

LYNDON

Middle

Last Name

FONG

Business Name

LYNDON D FONG

Original Issue Date

05/31/1989

Effective Date

05/31/1989

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005