DAVID YOUNGSIK KIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056212

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

YOUNGSIK

Last Name

KIM

Business Name

DAVID YOUNGSIK KIM

Original Issue Date

12/16/1977

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2012012099

Action

Suspension

Discipline Start Date

04/02/2013

Discipline End Date

12/05/2013

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/06/2013.