DAE HO KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

Title

DDS

First Name

DAE

Middle

Last Name

KIM

Business Name

DAE HO KIM DDS

Original Issue Date

08/14/2009

Effective Date

08/14/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012