SAMUEL D KANG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001118

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

KANG

Business Name

SAMUEL D KANG

Original Issue Date

04/12/2023

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

07/03/2024