KYOUNG J KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

KYOUNG J

Last Name

KIM

Suffix

Business Name

KYOUNG J KIM MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

GLENDALE

State

Zip

85308

County

ARIZONA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020