DANIEL KIM CASSITY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024847

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

KIM

Last Name

CASSITY

Suffix

DMD

Business Name

DANIEL KIM CASSITY DMD

Original Issue Date

09/17/1998

Effective Date

09/17/1998

Expiration Date

09/30/2000

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005