TAE HO KANG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

TAE

Middle

Last Name

KANG

Business Name

TAE HO KANG

Original Issue Date

04/21/2021

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2024