JISOO KIM MD - Medical Doctor License in Massachusetts | # 125069009

JISOO KIM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069009

License Status

EXPIRED

Business

N

Title

MD

First Name

JISOO

Last Name

KIM

Business Name

JISOO KIM MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2017

State

MA

Specialty/Qualifier

Transitional Year

Ever Disciplined

N

LastModifiedDate

09/19/2017