JAE JEONG SHIN DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001714

License Status

EXPIRED

Business

First Name

JAE

Middle

JEONG

Last Name

SHIN

Suffix

DDS

Business Name

JAE JEONG SHIN DDS

Original Issue Date

11/19/2008

Effective Date

08/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

07/15/2009