KWANG-SOO KIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

KWANG-SOO

Last Name

KIM

Business Name

KWANG-SOO KIM

Original Issue Date

01/25/1993

Effective Date

11/13/2015

Expiration Date

09/30/2018

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018