WILLIAM KWONG LE KWONG DMD

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****68

NOT RENEWED

N

WILLIAM KWONG LE

KWONG

DMD

WILLIAM KWONG LE KWONG DMD

10/01/1981

10/01/1981

06/01/1982

VENICE

IL

62090

MADISON

II III IV V

N

10/13/2005