KATIE JIA CHOU Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

JIA

Last Name

CHOU

Business Name

KATIE JIA CHOU

Original Issue Date

08/23/2022

Effective Date

08/23/2022

Expiration Date

09/30/2024

City

LAGUNA NIGUEL

State

Zip

92677

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025