SOMNANG LIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

SOMNANG

Last Name

LIM

Suffix

DDS

Business Name

SOMNANG LIM DDS

Original Issue Date

07/05/2011

Effective Date

07/05/2011

Expiration Date

09/30/2012

City

EAST SAINT LOUIS

State

Zip

62205

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012