TONY WAI-KIN KWONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

TONY

Middle

WAI-KIN

Last Name

KWONG

Suffix

DDS

Business Name

TONY WAI-KIN KWONG DDS

Original Issue Date

05/11/2006

Effective Date

05/11/2006

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006