TAE WOO KIM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056329

License Status

INACTIVE

Business

First Name

TAE WOO

Last Name

KIM

Suffix

Business Name

TAE WOO KIM MD

Original Issue Date

03/19/1978

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

CORONA DEL MAR

State

Zip

92625

Ever Disciplined

LastModifiedDate

07/26/2014