HENRY CHI MING FUNG

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****17

ACTIVE

N

HENRY CHI MING

FUNG

HENRY CHI MING FUNG

04/29/1992

08/06/2024

09/30/2027

OAK BROOK

IL

60523

DUPAGE

II III IV V

N

08/06/2024