MARDI A TINGZON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

MARDI A

Last Name

TINGZON

Suffix

DDS

Business Name

MARDI A TINGZON DDS

Original Issue Date

07/27/1992

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2024