PETER H KIM DDS - Dentist License in Illinois | # 018000618

PETER H KIM DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000618

License Status

NOT RENEWED

Business

N

First Name

PETER

Middle

H

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005