HEAZA KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053841

License Status

NOT RENEWED

Business

First Name

HEAZA

Last Name

KIM

Suffix

Business Name

HEAZA KIM MD

Original Issue Date

11/19/1976

Effective Date

07/28/2020

Expiration Date

07/31/2023

City

RIVERWOODS

State

Zip

60015

County

TENNESSEE

Ever Disciplined

LastModifiedDate

11/30/2023