JAE KWON BOK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001504

License Status

ACTIVE

Business

First Name

JAE

Middle

KWON

Last Name

BOK

Suffix

DDS

Business Name

JAE KWON BOK DDS

Original Issue Date

09/29/2004

Effective Date

09/29/2004

Expiration Date

01/31/3004

City

FAIRFAX

State

Zip

22031

County

VIRGINIA

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

01/29/2007