JONGNOK JENNIFER LEE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

JONGNOK

Middle

JENNIFER

Last Name

LEE

Business Name

JONGNOK JENNIFER LEE

Original Issue Date

06/24/2013

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60640

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024