LORA CHOW CHONGRUK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

First Name

LORA

Middle

CHOW

Last Name

CHONGRUK

Business Name

LORA CHOW CHONGRUK

Original Issue Date

08/27/2008

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

SNEADS FERRY

State

Zip

28460

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/04/2009