TAE SOO KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049060

License Status

NOT RENEWED

Business

First Name

TAE SOO

Last Name

KIM

Suffix

Business Name

TAE SOO KIM MD

Original Issue Date

03/26/1974

Effective Date

03/26/1974

City

LADD

State

Zip

61329

County

BUREAU

Ever Disciplined

LastModifiedDate

09/20/2006