AMY JOHNSON KIM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DDS

First Name

AMY

Middle

JOHNSON

Last Name

KIM

Business Name

AMY JOHNSON KIM DDS

Original Issue Date

02/23/2012

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2024