JAE JEONG SHIN DDS - Dentist License in Illinois | # 018001714

JAE JEONG SHIN DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001714

License Status

EXPIRED

Business

N

First Name

JAE

Middle

JEONG

Last Name

SHIN

Suffix

DDS

Business Name

JAE JEONG SHIN DDS

Original Issue Date

11/19/2008

Effective Date

08/01/2008

Expiration Date

06/30/2009

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

07/15/2009