GLENDALE LIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003219

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

LAFAYETTE

State

Zip

47909

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

02/04/2025