HENRY CHI MING FUNG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

HENRY CHI MING

Last Name

FUNG

Business Name

HENRY CHI MING FUNG

Original Issue Date

01/17/1985

Effective Date

01/17/1985

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005