GINA KIM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

First Name

GINA

Last Name

KIM

Suffix

DDS

Business Name

GINA KIM DDS

Original Issue Date

06/21/2004

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

HICKORY HILLS

State

Zip

60457

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024