MICHAEL WILLIAM WONG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029087

License Status

NOT RENEWED

Business

Title

DMD

First Name

MICHAEL

Middle

WILLIAM

Last Name

WONG

Business Name

MICHAEL WILLIAM WONG DMD

Original Issue Date

06/22/2012

Effective Date

01/22/2016

Expiration Date

09/30/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/31/2018