PETER H KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000618

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

KIM

Suffix

DDS

Business Name

PETER H KIM DDS

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005