UNG K KIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

UNG K

Last Name

KIM

Business Name

UNG K KIM

Original Issue Date

09/26/1988

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022