DIEN KIM TA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058804

License Status

NOT RENEWED

Business

First Name

DIEN KIM

Last Name

Suffix

Business Name

DIEN KIM TA MD

Original Issue Date

06/18/1979

Effective Date

06/18/1979

Expiration Date

07/31/1984

City

CALUMET

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006