JA LONG ROBERT WONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018800

License Status

NOT RENEWED

Business

First Name

JA LONG ROBERT

Last Name

WONG

Business Name

JA LONG ROBERT WONG

Original Issue Date

09/02/1983

Effective Date

09/02/1983

Expiration Date

09/30/1986

City

SYRACUSE

State

Zip

13204

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/12/2005