IL BONG KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049059

License Status

NOT RENEWED

Business

First Name

IL BONG

Last Name

KIM

Suffix

Business Name

IL BONG KIM MD

Original Issue Date

03/26/1974

Effective Date

06/01/2017

Expiration Date

09/30/2020

City

COUNTRYSIDE

State

Zip

60525

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021