TAEHYUNG MOON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

TAEHYUNG

Last Name

MOON

Suffix

DDS

Business Name

TAEHYUNG MOON DDS

Original Issue Date

07/13/2011

Effective Date

08/12/2015

Expiration Date

09/30/2018

City

ENGLEWOOD

State

Zip

07631

County

NEW JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/31/2018