License holder summary

Henry King-Fai Pong is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Henry King-Fai Pong is 3820 CENTRAL AVENUE, LAKE STATION IN 46405. This licensed professional license is current. The license was granted 08/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Henry King-Fai Pong
Controlled Substance Registration - Dentist
License number
12008020B
Date granted
08/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
3820 CENTRAL AVENUE, LAKE STATION IN 46405
indianalicensing.org
ID 5108093
LAST UPDATED 2024-02-04 20:33:41 UTC

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