SEUNGHYUN JAE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

SEUNGHYUN

Last Name

JAE

Business Name

SEUNGHYUN JAE

Original Issue Date

07/02/2015

Effective Date

03/11/2019

Expiration Date

01/31/2022

City

FORT LEE

State

Zip

07024

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022