KIM THIEN DO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003004

License Status

NOT RENEWED

Business

First Name

KIM

Middle

THIEN

Last Name

Business Name

KIM THIEN DO

Original Issue Date

10/24/2019

Effective Date

10/24/2019

Expiration Date

01/31/2022

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

LastModifiedDate

05/09/2022