MIN SOO KIM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

Title

DMD

First Name

MIN

Middle

SOO

Last Name

KIM

Business Name

MIN SOO KIM DMD

Original Issue Date

06/12/2015

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60563

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/10/2024