THOMAS CHANGWOO SEO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

CHANGWOO

Last Name

SEO

Business Name

THOMAS CHANGWOO SEO

Original Issue Date

09/12/2012

Effective Date

01/13/2016

Expiration Date

09/30/2018

City

SAN DIEGO

State

Zip

92127

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/31/2019