TAE WON KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054630

License Status

ACTIVE

Business

First Name

TAE WON

Last Name

KIM

Suffix

Business Name

TAE WON KIM MD

Original Issue Date

05/13/1977

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

05/30/2023