JAE KWAN KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056328

License Status

ACTIVE

Business

First Name

JAE KWAN

Last Name

KIM

Suffix

Business Name

JAE KWAN KIM MD

Original Issue Date

01/19/1978

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/08/2023