RANDALL CARL WING DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2025