BEOM SEOK KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

Title

DDS

First Name

BEOM

Middle

SEOK

Last Name

KIM

Business Name

BEOM SEOK KIM DDS

Original Issue Date

08/03/2011

Effective Date

09/20/2012

Expiration Date

09/30/2015

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016