GRACE KOH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

GRACE

Last Name

KOH

Suffix

DDS

Business Name

GRACE KOH DDS

Original Issue Date

09/15/1998

Effective Date

07/24/2012

Expiration Date

09/30/2015

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016