GRACE KOH DDS - Dentist License in Illinois | # 018001014

GRACE KOH DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001014

License Status

EXPIRED

Business

N

First Name

GRACE

Last Name

KOH

Suffix

DDS

Business Name

GRACE KOH DDS

Original Issue Date

06/12/1997

Effective Date

06/12/1997

Expiration Date

05/10/2000

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005