KI CASEY SHIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059754

License Status

NOT RENEWED

Business

First Name

KI CASEY

Last Name

SHIM

Suffix

Business Name

KI CASEY SHIM MD

Original Issue Date

11/09/1979

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014