GRACE KOH DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001014

License Status

EXPIRED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005