ROLA KIM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

Title

DMD

First Name

ROLA

Last Name

KIM

Business Name

ROLA KIM DMD

Original Issue Date

07/18/2024

Effective Date

07/18/2024

Expiration Date

09/30/2027

City

MONMOUTH

State

Zip

61462

County

WARREN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2024