SUNG HO KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

Title

DDS

First Name

SUNG

Middle

Last Name

KIM

Business Name

SUNG HO KIM DDS

Original Issue Date

01/10/2018

Effective Date

06/15/2018

Expiration Date

01/31/2022

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022