KIM THIEN DO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032204

License Status

NOT RENEWED

Business

First Name

KIM

Middle

THIEN

Last Name

Business Name

KIM THIEN DO

Original Issue Date

06/21/2019

Effective Date

11/02/2021

Expiration Date

09/30/2024

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

02/04/2025