GLENDALE LIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

GLENDALE

Last Name

LIM

Business Name

GLENDALE LIM

Original Issue Date

08/20/2022

Effective Date

08/20/2022

Expiration Date

09/30/2024

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/04/2025