DAVID SEUNG-JIN MOON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

Title

DDS

First Name

DAVID

Middle

SEUNG-JIN

Last Name

MOON

Business Name

DAVID SEUNG-JIN MOON DDS

Original Issue Date

08/12/2025

Effective Date

08/12/2025

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61821

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2025