PRISCILLA H SHIH KIM DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

CANCELLED

Business

First Name

PRISCILLA H SHIH

Last Name

KIM

Suffix

DDS

Business Name

PRISCILLA H SHIH KIM DDS

Original Issue Date

01/01/1998

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009