JAE OH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

Title

DMD

First Name

JAE

Last Name

Business Name

JAE OH DMD

Original Issue Date

11/05/2021

Effective Date

11/05/2021

Expiration Date

09/30/2024

City

SAN DIEGO

State

Zip

92127

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025