ALLEN PANG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000418

License Status

NOT RENEWED

Business

First Name

ALLEN

Last Name

PANG

Business Name

ALLEN PANG

Original Issue Date

11/22/1963

Effective Date

11/22/1963

Expiration Date

09/30/1990

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018