ROY D SHIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001209

License Status

NOT RENEWED

Business

First Name

ROY

Middle

Last Name

SHIM

Suffix

DDS

Business Name

ROY D SHIM DDS

Original Issue Date

06/02/2000

Effective Date

06/02/2000

Expiration Date

07/31/2001

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005