DANIEL TAECHONG KIM

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****30

NOT RENEWED

N

DANIEL TAECHONG

KIM

DANIEL TAECHONG KIM

03/03/1994

03/03/1994

09/30/2000

PALATINE

IL

60067

COOK

II III IV V

N

10/17/2005