SHU MAN WONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

SHU MAN

Last Name

WONG

Business Name

SHU MAN WONG

Original Issue Date

08/30/1983

Effective Date

11/10/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60611

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025