MINSEOK KANG DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

Title

DMD

First Name

MINSEOK

Last Name

KANG

Business Name

MINSEOK KANG DMD

Original Issue Date

11/08/2012

Effective Date

11/08/2012

Expiration Date

09/30/2015

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016