JI WOUNG CHOI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

Title

DDS

First Name

Middle

WOUNG

Last Name

CHOI

Business Name

JI WOUNG CHOI DDS

Original Issue Date

09/19/2017

Effective Date

07/25/2018

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022