THERESA C WANG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

Title

DDS

First Name

THERESA

Middle

Last Name

WANG

Business Name

THERESA C WANG DDS

Original Issue Date

07/06/2016

Effective Date

02/16/2022

Expiration Date

09/30/2021

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022