TONY WAI-KIN KWONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

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

12/21/2005

Effective Date

12/21/2005

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006