PETER H KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

KIM

Suffix

DDS

Business Name

PETER H KIM DDS

Original Issue Date

03/29/1993

Effective Date

03/29/1993

Expiration Date

09/30/2000

City

BUFFALO GROVE

State

Zip

60089

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005