JIYEON J KIM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

Title

DMD

First Name

JIYEON

Middle

Last Name

KIM

Business Name

JIYEON J KIM DMD

Original Issue Date

12/12/2016

Effective Date

12/12/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018