BEUM K KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028710

License Status

NOT RENEWED

Business

First Name

BEUM

Middle

Last Name

KIM

Suffix

DDS

Business Name

BEUM K KIM DDS

Original Issue Date

06/29/2011

Effective Date

06/29/2011

Expiration Date

09/30/2012

City

PROVIDENCE

State

Zip

02903

Ever Disciplined

LastModifiedDate

11/14/2012