JAE UNG JUNG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

JAE UNG

Last Name

JUNG

Business Name

JAE UNG JUNG

Original Issue Date

05/08/2020

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024