BONG-KWAN KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

BONG-KWAN

Last Name

KIM

Suffix

DDS

Business Name

BONG-KWAN KIM DDS

Original Issue Date

10/06/1993

Effective Date

10/06/1993

Expiration Date

09/30/1996

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005