KIM THIEN DO - Dentist License in Illinois | # 019032204

KIM THIEN DO

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032204

License Status

NOT RENEWED

Business

N

First Name

KIM

Middle

THIEN

Last Name

DO

Business Name

KIM THIEN DO

Original Issue Date

06/21/2019

Effective Date

11/02/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025