JAE SUNG ROH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

JAE

Middle

SUNG

Last Name

ROH

Suffix

DDS

Business Name

JAE SUNG ROH DDS

Original Issue Date

06/07/2004

Effective Date

06/07/2004

Expiration Date

09/30/2006

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006