BONG JU KIM DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001613

License Status

EXPIRED

Business

First Name

BONG

Middle

Last Name

KIM

Suffix

DDS

Business Name

BONG JU KIM DDS

Original Issue Date

10/04/2006

Effective Date

10/04/2006

Expiration Date

07/31/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

08/29/2007