JEONG HWAN KIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

JEONG HWAN

Last Name

KIM

Business Name

JEONG HWAN KIM

Original Issue Date

11/29/1994

Effective Date

11/29/1994

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005