MINA H CHUNG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000613

License Status

NOT RENEWED

Business

First Name

MINA

Middle

Last Name

CHUNG

Suffix

DDS

Business Name

MINA H CHUNG DDS

Original Issue Date

06/01/2004

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/04/2009