EUN JIN LEE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

First Name

EUN

Middle

JIN

Last Name

LEE

Suffix

DDS

Business Name

EUN JIN LEE DDS

Original Issue Date

06/05/2012

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024