THOMAS S KWONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

KWONG

Suffix

DDS

Business Name

THOMAS S KWONG DDS

Original Issue Date

05/20/2008

Effective Date

06/30/2009

Expiration Date

09/30/2012

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012