HYUNA KIM DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

CANCELLED

Business

First Name

HYUNA

Last Name

KIM

Suffix

DDS

Business Name

HYUNA KIM DDS

Original Issue Date

06/17/2011

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2012