ROLLAN C WONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

Title

DDS

First Name

ROLLAN

Middle

Last Name

WONG

Business Name

ROLLAN C WONG DDS

Original Issue Date

11/29/1990

Effective Date

11/29/1990

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005