SUNG YEON JI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

SUNG

Middle

YEON

Last Name

Business Name

SUNG YEON JI

Original Issue Date

08/07/2013

Effective Date

08/07/2013

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016