DEBERA SHU-MIN WANG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

Title

DMD

First Name

DEBERA

Middle

SHU-MIN

Last Name

WANG

Business Name

DEBERA SHU-MIN WANG DMD

Original Issue Date

04/18/2024

Effective Date

09/08/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60565

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/08/2024