JONG KEUN OH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

Title

DDS

First Name

JONG KEUN

Last Name

Business Name

JONG KEUN OH DDS

Original Issue Date

07/24/2012

Effective Date

09/01/2015

Expiration Date

09/30/2018

City

MEQUON

State

Zip

53092

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018