DANIEL TAECHONG KIM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

First Name

DANIEL TAECHONG

Last Name

KIM

Business Name

DANIEL TAECHONG KIM

Original Issue Date

09/04/1985

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/03/2024