WING DJAYA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001000

License Status

NOT RENEWED

Business

First Name

WING

Last Name

DJAYA

Business Name

WING DJAYA

Original Issue Date

11/18/1996

Effective Date

11/18/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005