SUNG KWANG KIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

SUNG

Middle

KWANG

Last Name

KIM

Business Name

SUNG KWANG KIM

Original Issue Date

08/14/2013

Effective Date

08/13/2015

Expiration Date

09/30/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018