PETER H KIM DDS - Dentist License in Illinois | # 137000433

PETER H KIM DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000433

License Status

NOT RENEWED

Business

N

First Name

PETER

Middle

H

Last Name

KIM

Suffix

DDS

Business Name

PETER H KIM DDS

Original Issue Date

07/31/1997

Effective Date

07/31/1997

Expiration Date

09/30/2000

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

10/17/2005