SOO HYUN KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

Title

DDS

First Name

SOO

Middle

HYUN

Last Name

KIM

Business Name

SOO HYUN KIM DDS

Original Issue Date

08/06/2013

Effective Date

06/29/2015

Expiration Date

09/30/2018

City

CHATHAM

State

Zip

62629

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018