DAVID FANG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025991

License Status

NOT RENEWED

Business

First Name

DAVID

Last Name

FANG

Suffix

DDS

Business Name

DAVID FANG DDS

Original Issue Date

10/04/2002

Effective Date

06/26/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012