KONG XING WANG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032213

License Status

NOT RENEWED

Business

Title

DMD

First Name

KONG

Middle

XING

Last Name

WANG

Business Name

KONG XING WANG DMD

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/09/2022