JAE SUNG ROH DDS - Dentist License in Illinois | # 137000630

JAE SUNG ROH DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000630

License Status

ACTIVE

Business

N

First Name

JAE

Middle

SUNG

Last Name

ROH

Suffix

DDS

Business Name

JAE SUNG ROH DDS

Original Issue Date

10/08/2004

Effective Date

05/01/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

05/01/2024