YEON SOO KIM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

Title

DDS

First Name

YEON SOO

Last Name

KIM

Business Name

YEON SOO KIM DDS

Original Issue Date

10/06/2022

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024