SUSIE CARITAS KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099547

License Status

NOT RENEWED

Business

First Name

SUSIE

Middle

CARITAS

Last Name

KIM

Suffix

Business Name

SUSIE CARITAS KIM MD

Original Issue Date

01/26/1999

Effective Date

01/26/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006