CHI KIM LE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026271

License Status

ACTIVE

Business

First Name

CHI

Middle

KIM

Last Name

Suffix

DMD

Business Name

CHI KIM LE DMD

Original Issue Date

09/22/2003

Effective Date

06/12/2024

Expiration Date

09/30/2027

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/12/2024