JAEHEE L SHIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

JAEHEE L

Last Name

SHIM

Business Name

JAEHEE L SHIM

Original Issue Date

01/01/1998

Effective Date

08/30/2018

Expiration Date

01/31/2022

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022