TERRENCE C CHUNG DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

INOPERATIVE

Business

First Name

TERRENCE

Middle

Last Name

CHUNG

Suffix

DDS

Business Name

TERRENCE C CHUNG DDS

Original Issue Date

04/22/1997

Effective Date

04/22/1997

Expiration Date

09/30/1998

City

WEST DUNDEE

State

Zip

60118

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005