SUSAN KIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002930

License Status

NOT RENEWED

Business

First Name

SUSAN

Last Name

KIM

Business Name

SUSAN KIM

Original Issue Date

02/08/2019

Effective Date

02/08/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Ever Disciplined

LastModifiedDate

05/09/2022