ROY D SHIM DDS - Dentist License in Iowa | # 31*****08

ROY D SHIM DDS

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

CANCELLED

Business

N

First Name

ROY

Middle

D

Last Name

SHIM

Suffix

DDS

Business Name

ROY D SHIM DDS

Original Issue Date

08/10/2001

Effective Date

08/10/2001

Expiration Date

09/30/2006

State

IA

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

07/24/2006