CHANSOO KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049912

License Status

NOT RENEWED

Business

First Name

CHANSOO

Last Name

KIM

Suffix

Business Name

CHANSOO KIM MD

Original Issue Date

10/10/1974

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021