BONG JU KIM DDS - Dentist License in Illinois | # 018001613

BONG JU KIM DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001613

License Status

EXPIRED

Business

N

First Name

BONG

Middle

JU

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

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

08/29/2007