WOOK SAN KIM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

WOOK

Middle

SAN

Last Name

KIM

Business Name

WOOK SAN KIM

Original Issue Date

06/20/2001

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024