NICKOLAS JI KIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

NICKOLAS

Middle

Last Name

KIM

Business Name

NICKOLAS JI KIM

Original Issue Date

07/27/2018

Effective Date

07/27/2018

Expiration Date

01/31/2022

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022