LANCE Y KIM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092765

License Status

NOT RENEWED

Business

First Name

LANCE Y

Last Name

KIM

Suffix

Business Name

LANCE Y KIM DO

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006