MARY E KIM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

Title

DMD

First Name

MARY

Middle

Last Name

KIM

Business Name

MARY E KIM DMD

Original Issue Date

06/07/2018

Effective Date

09/28/2021

Expiration Date

09/30/2024

City

WHEELING

State

Zip

60090

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025