THOMAS W WONG DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

CANCELLED

Business

First Name

THOMAS W

Last Name

WONG

Suffix

DMD

Business Name

THOMAS W WONG DMD

Original Issue Date

11/21/1988

Effective Date

11/21/1988

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005