ADRIAN KANG-SAN KIM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

Title

DMD

First Name

ADRIAN

Middle

KANG-SAN

Last Name

KIM

Business Name

ADRIAN KANG-SAN KIM DMD

Original Issue Date

06/25/2024

Effective Date

06/25/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2024