JUNG AHN - Dentist License in Illinois | # 31*****90

JUNG AHN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

N

First Name

JUNG

Last Name

AHN

Business Name

JUNG AHN

Original Issue Date

08/10/2017

Effective Date

12/20/2018

Expiration Date

01/31/2022

City

CHICAGO

State

IL

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/09/2022