MARY GRACE KIM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

Title

DDS

First Name

MARY

Middle

GRACE

Last Name

KIM

Business Name

MARY GRACE KIM DDS

Original Issue Date

10/24/2014

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2024