PETER S KIM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090402

License Status

ACTIVE

Business

First Name

PETER

Middle

Last Name

KIM

Business Name

PETER S KIM

Original Issue Date

03/25/1995

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/29/2023