JASON Y KIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109349

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

KIM

Business Name

JASON Y KIM

Original Issue Date

06/03/2003

Effective Date

06/03/2003

Expiration Date

07/31/2005

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006