JAEHEE L SHIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000593

License Status

NOT RENEWED

Business

First Name

JAEHEE L

Last Name

SHIM

Business Name

JAEHEE L SHIM

Original Issue Date

08/14/2003

Effective Date

09/06/2012

Expiration Date

09/30/2015

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

02/08/2016