JEFFREY L WINGO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000521

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

WINGO

Business Name

JEFFREY L WINGO

Original Issue Date

05/01/1991

Effective Date

05/01/1991

Expiration Date

06/30/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005