LISA KIM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120781

License Status

INACTIVE

Business

First Name

LISA

Last Name

KIM

Suffix

Business Name

LISA KIM MD

Original Issue Date

05/02/2008

Effective Date

05/02/2008

Expiration Date

07/31/2011

City

WAILUKU

State

Zip

96793

County

HAWAII

Ever Disciplined

LastModifiedDate

04/07/2011