JASON RAE KIM DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001977

License Status

EXPIRED

Business

Title

DDS

First Name

JASON

Middle

RAE

Last Name

KIM

Business Name

JASON RAE KIM DDS

Original Issue Date

12/17/2015

Effective Date

01/31/2016

Expiration Date

06/30/2018

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/25/2018