SUSAN KIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031940

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

KIM

Business Name

SUSAN KIM

Original Issue Date

12/10/2018

Effective Date

12/10/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022