PETER SUNG JONG CHANG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

First Name

PETER

Middle

SUNG JONG

Last Name

CHANG

Business Name

PETER SUNG JONG CHANG

Original Issue Date

05/22/2001

Effective Date

07/02/2024

Expiration Date

09/30/2027

City

ROSELLE

State

Zip

60172

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2024