DANNY FONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

Title

DDS

First Name

DANNY

Last Name

FONG

Business Name

DANNY FONG DDS

Original Issue Date

02/06/1989

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022