KWANG-SOO KIM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

KWANG-SOO

Last Name

KIM

Business Name

KWANG-SOO KIM

Original Issue Date

07/25/2005

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2024