NUNYA PONGO IRVINE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027478

License Status

NOT RENEWED

Business

First Name

NUNYA

Middle

PONGO

Last Name

IRVINE

Suffix

DMD

Business Name

NUNYA PONGO IRVINE DMD

Original Issue Date

07/25/2007

Effective Date

12/27/2021

Expiration Date

09/30/2024

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2025