SHEULUN JASON MOK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

Title

DMD

First Name

SHEULUN

Middle

JASON

Last Name

MOK

Business Name

SHEULUN JASON MOK DMD

Original Issue Date

06/19/2014

Effective Date

06/19/2014

Expiration Date

09/30/2015

City

ALTON

State

Zip

62022

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016