TED A JUNG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

TED

Middle

Last Name

JUNG

Suffix

DDS

Business Name

TED A JUNG DDS

Original Issue Date

12/18/1996

Effective Date

05/12/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/31/2018