TAE HO KONG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034531

License Status

ACTIVE

Business

Title

DDS

First Name

TAE HO

Last Name

KONG

Business Name

TAE HO KONG DDS

Original Issue Date

07/26/2023

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

EAST PEORIA

State

Zip

61611

Ever Disciplined

LastModifiedDate

10/02/2024