ROY D SHIM DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

CANCELLED

Business

First Name

ROY

Middle

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

City

DAVENPORT

State

Zip

52807

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006