NORMAN WANG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

NORMAN

Last Name

WANG

Business Name

NORMAN WANG

Original Issue Date

07/13/2007

Effective Date

07/13/2007

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009