STANLEY KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

STANLEY

Last Name

KIM

Business Name

STANLEY KIM MD

Original Issue Date

05/16/2025

Effective Date

05/16/2025

Expiration Date

07/31/2026

City

SAN MARINO

State

Zip

91108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2025