JUNGIK HONG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

Title

DMD

First Name

JUNGIK

Last Name

HONG

Business Name

JUNGIK HONG DMD

Original Issue Date

10/12/2021

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

DE PERE

State

Zip

54115

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024