JOONG-SEO KIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000702

License Status

NOT RENEWED

Business

First Name

JOONG-SEO

Last Name

KIM

Business Name

JOONG-SEO KIM

Original Issue Date

06/23/1993

Effective Date

06/23/1993

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005