JUYOUNG AN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030062

License Status

NOT RENEWED

Business

Title

DMD

First Name

JUYOUNG

Last Name

Business Name

JUYOUNG AN DMD

Original Issue Date

10/03/2014

Effective Date

10/03/2014

Expiration Date

09/30/2015

City

PROVIDENCE

State

Zip

02903

Ever Disciplined

LastModifiedDate

02/08/2016