CARMEN PATRICIA LI WONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

PATRICIA

Last Name

LI WONG

Suffix

DDS

Business Name

CARMEN PATRICIA LI WONG DDS

Original Issue Date

01/17/2017

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

PRINCEVILLE

State

Zip

61559

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025