ALLEN PANG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009666

License Status

NOT RENEWED

Business

First Name

ALLEN

Last Name

PANG

Business Name

ALLEN PANG

Original Issue Date

08/14/1950

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2010