YOUNG JA SHIN KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051516

License Status

NOT RENEWED

Business

First Name

YOUNG JA SHIN

Last Name

KIM

Suffix

Business Name

YOUNG JA SHIN KIM MD

Original Issue Date

08/15/1975

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021