KRISTINA J KIM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111621

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

Last Name

KIM

Suffix

Business Name

KRISTINA J KIM DO

Original Issue Date

06/16/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WALNUT CREEK

State

Zip

94597

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008