JENNIE KIM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

Title

DMD

First Name

JENNIE

Last Name

KIM

Business Name

JENNIE KIM DMD

Original Issue Date

09/30/2023

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60564

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024