PETER H CHUNG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

PETER

Middle

Last Name

CHUNG

Business Name

PETER H CHUNG

Original Issue Date

07/31/2018

Effective Date

08/04/2024

Expiration Date

09/30/2027

City

ROSELLE

State

Zip

60172

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2024