STANLEY TAESON KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111178

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

TAESON

Last Name

KIM

Suffix

Business Name

STANLEY TAESON KIM MD

Original Issue Date

04/13/2004

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021