SAMUEL D KANG Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

KANG

Business Name

SAMUEL D KANG

Original Issue Date

09/03/2021

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2024