SOON OK KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104952

License Status

NOT RENEWED

Business

First Name

SOON

Middle

Last Name

KIM

Suffix

Business Name

SOON OK KIM MD

Original Issue Date

06/12/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

03/13/2015