GRACE KOH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000682

License Status

NOT RENEWED

Business

First Name

GRACE

Last Name

KOH

Suffix

DDS

Business Name

GRACE KOH DDS

Original Issue Date

08/01/2006

Effective Date

07/24/2012

Expiration Date

09/30/2015

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

02/08/2016