HAE SU YIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

HAE

Middle

Last Name

YIM

Business Name

HAE SU YIM

Original Issue Date

10/08/2014

Effective Date

10/08/2014

Expiration Date

09/30/2015

City

JOLIET

State

Zip

60436

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016