KINGSLEY L WANG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001325

License Status

NOT RENEWED

Business

First Name

KINGSLEY

Middle

Last Name

WANG

Suffix

DDS

Business Name

KINGSLEY L WANG DDS

Original Issue Date

02/27/2002

Effective Date

02/27/2002

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005