DENNIS YUNG KUANG WEN

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****16

ACTIVE

N

DENNIS YUNG

KUANG WEN

DENNIS YUNG KUANG WEN

03/31/1997

04/07/2023

07/31/2026

ELGIN

IL

60123

KANE

II III IV V

N

04/07/2023