KI BEOM KIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002486

License Status

NOT RENEWED

Business

First Name

Middle

BEOM

Last Name

KIM

Business Name

KI BEOM KIM

Original Issue Date

09/04/2012

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

SAINT LOUIS

State

Zip

63105

County

MISSOURI

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

02/04/2025