KALIN THU NGO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

Title

DDS

First Name

KALIN

Middle

THU

Last Name

NGO

Business Name

KALIN THU NGO DDS

Original Issue Date

11/21/2011

Effective Date

08/27/2012

Expiration Date

09/30/2015

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016