RANDALL CARL WING DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019036405

License Status

ACTIVE

Business

Title

DDS

First Name

RANDALL

Middle

CARL

Last Name

WING

Business Name

RANDALL CARL WING DDS

Original Issue Date

08/13/2025

Effective Date

08/13/2025

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

01108

Ever Disciplined

LastModifiedDate

10/06/2025