SU TONG KANG 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

Title

DDS

First Name

Middle

TONG

Last Name

KANG

Business Name

SU TONG KANG DDS

Original Issue Date

03/25/2009

Effective Date

03/25/2009

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009