ANNIE C TSANG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

ANNIE

Middle

Last Name

TSANG

Suffix

DDS

Business Name

ANNIE C TSANG DDS

Original Issue Date

05/13/1996

Effective Date

12/31/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025