ELISA JUNGEUN CHOI Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

CANCELLED

Business

First Name

ELISA

Middle

JUNGEUN

Last Name

CHOI

Business Name

ELISA JUNGEUN CHOI

Original Issue Date

09/17/2002

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009