MIA MYOUNGAH SEO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

ACTIVE

Business

Title

DDS

First Name

MIA

Middle

MYOUNGAH

Last Name

SEO

Business Name

MIA MYOUNGAH SEO DDS

Original Issue Date

07/08/2014

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024