License holder summary

JI SANG KIM is a Dentistry - Dentist licensed to practice in Michigan. This medical licensee license is not current. The license was granted 12/21/2004 and expired on 08/31/2014.

Department of Licensing and Regulatory Affairs

Board of Medicine

JI SANG KIM
Dentistry - Dentist
License number
2901019035
Date granted
12/21/2004
Date expires
08/31/2014
Class
Dentistry - Dentist
Status
Lapsed
Address
michiganmedical.net
ID 38900562
LAST UPDATED 2024-04-20 18:06:48 UTC

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