SHANZONG CHEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

Title

DMD

First Name

SHANZONG

Last Name

CHEN

Business Name

SHANZONG CHEN DMD

Original Issue Date

07/06/2016

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

DALLAS

State

Zip

75248

County

KANSAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022