KENNETH DONGHOON CHAE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

KENNETH

Middle

DONGHOON

Last Name

CHAE

Suffix

DDS

Business Name

KENNETH DONGHOON CHAE DDS

Original Issue Date

09/15/2003

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/28/2024