PETER J KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

PETER J

Last Name

KIM

Suffix

DDS

Business Name

PETER J KIM DDS

Original Issue Date

02/28/2006

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009