JAE MYUNG SHIM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

JAE

Middle

MYUNG

Last Name

SHIM

Suffix

DDS

Business Name

JAE MYUNG SHIM DDS

Original Issue Date

11/19/1998

Effective Date

06/30/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/30/2024