KIM THIEN DO - Dentist License in Illinois | # 021003004

KIM THIEN DO

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003004

License Status

NOT RENEWED

Business

N

First Name

KIM

Middle

THIEN

Last Name

DO

Business Name

KIM THIEN DO

Original Issue Date

10/24/2019

Effective Date

10/24/2019

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

N

LastModifiedDate

05/09/2022