JAE KWON BOK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

JAE

Middle

KWON

Last Name

BOK

Suffix

DDS

Business Name

JAE KWON BOK DDS

Original Issue Date

03/24/2006

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/04/2009