CHUNG KI KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046560

License Status

NOT RENEWED

Business

First Name

CHUNG KI

Last Name

KIM

Suffix

Business Name

CHUNG KI KIM MD

Original Issue Date

10/19/1972

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/06/2008