YUN S KIM Dentist License verification

YUN S KIM

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026961

License Status

ACTIVE

Business

First Name

YUN S

Last Name

KIM

Business Name

YUN S KIM

Original Issue Date

03/15/2006

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63127

Ever Disciplined

LastModifiedDate

10/30/2024

Case Number

2018001621

Action

Revocation

Discipline Start Date

04/01/2020

Discipline End Date

10/12/2024

Discipline Reason

dental license revoked for guilty plea entered for healthcare fraud for knowingly making false representations of material fact, concerning patients, to Illinois Medicaid with the intent to defraud Illinois Medicaid.