MINTAE KIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031328

License Status

NOT RENEWED

Business

First Name

MINTAE

Last Name

KIM

Business Name

MINTAE KIM

Original Issue Date

08/07/2017

Effective Date

09/17/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025