LISA S KIM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083411

License Status

ACTIVE

Business

First Name

LISA S

Last Name

KIM

Business Name

LISA S KIM

Original Issue Date

10/03/1991

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2023