HEEJONG S KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

HEEJONG S

Last Name

KIM

Suffix

DDS

Business Name

HEEJONG S KIM DDS

Original Issue Date

06/21/1989

Effective Date

06/21/1989

Expiration Date

09/30/2004

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005