VU SE KONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

KONG

Suffix

DDS

Business Name

VU SE KONG DDS

Original Issue Date

07/08/2008

Effective Date

12/08/2021

Expiration Date

09/30/2024

City

ELGIN

State

Zip

60120

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025