MICHAEL WILLIAM WONG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002734

License Status

NOT RENEWED

Business

Title

DMD

First Name

MICHAEL

Middle

WILLIAM

Last Name

WONG

Business Name

MICHAEL WILLIAM WONG DMD

Original Issue Date

03/15/2016

Effective Date

03/15/2016

Expiration Date

09/30/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

10/31/2018