CHANG WOO JUNG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

Title

DMD

First Name

CHANG

Middle

WOO

Last Name

JUNG

Business Name

CHANG WOO JUNG DMD

Original Issue Date

06/05/2018

Effective Date

08/19/2024

Expiration Date

09/30/2027

City

BURKE

State

Zip

22015

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/19/2024