CODY WONG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

Title

DMD

First Name

CODY

Last Name

WONG

Business Name

CODY WONG DMD

Original Issue Date

08/03/2019

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024