THOMAS CHANGWOO SEO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

THOMAS

Middle

CHANGWOO

Last Name

SEO

Business Name

THOMAS CHANGWOO SEO

Original Issue Date

12/18/2019

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SAN DIEGO

State

Zip

92127

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024