AUSTIN H WANG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000424

License Status

NOT RENEWED

Business

First Name

AUSTIN H

Last Name

WANG

Suffix

DDS

Business Name

AUSTIN H WANG DDS

Original Issue Date

02/06/1997

Effective Date

02/06/1997

Expiration Date

09/30/2004

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005