PETER H KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000471

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

KIM

Suffix

DDS

Business Name

PETER H KIM DDS

Original Issue Date

08/24/1999

Effective Date

08/24/1999

Expiration Date

09/30/2000

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005