EWING J ING Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

EWING J

Last Name

ING

Business Name

EWING J ING

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005