SAMANTHA WONG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

WONG

Business Name

SAMANTHA WONG

Original Issue Date

07/14/2021

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

BARTLETT

State

Zip

60103

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024