License holder summary

Chung Kwang Raymond Wong is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Chung Kwang Raymond Wong is 6920 PARKDALE PLACE SUITE 217, INDIANAPOLIS IN 46254. This licensed professional license is current. The license was granted 08/26/1991 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Chung Kwang Raymond Wong
Controlled Substance Registration - Dentist
License number
12009381B
Date granted
08/26/1991
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6920 PARKDALE PLACE SUITE 217, INDIANAPOLIS IN 46254
indianalicensing.org
ID 5101916
LAST UPDATED 2024-04-30 20:19:30 UTC

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