ELISA JUNGEUN CHOI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

ELISA

Middle

JUNGEUN

Last Name

CHOI

Business Name

ELISA JUNGEUN CHOI

Original Issue Date

09/17/2002

Effective Date

09/17/2002

Expiration Date

09/30/2004

City

APPLETON

State

Zip

54913

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2021