YIPING FANG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

YIPING

Last Name

FANG

Suffix

DDS

Business Name

YIPING FANG DDS

Original Issue Date

11/25/1992

Effective Date

11/25/1992

Expiration Date

09/30/1994

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005