DAESOON KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001254

License Status

NOT RENEWED

Business

First Name

DAESOON

Last Name

KIM

Suffix

DDS

Business Name

DAESOON KIM DDS

Original Issue Date

10/10/2000

Effective Date

10/10/2000

Expiration Date

07/31/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005