ILSOON KIM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030400

License Status

ACTIVE

Business

Title

DDS

First Name

ILSOON

Last Name

KIM

Business Name

ILSOON KIM DDS

Original Issue Date

08/03/2015

Effective Date

07/28/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/28/2024