WEIGUANG MA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

WEIGUANG

Last Name

Business Name

WEIGUANG MA

Original Issue Date

03/30/2018

Effective Date

10/15/2021

Expiration Date

09/30/2024

City

PLAINFIELD

State

Zip

60586

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025