KI WAN KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127784

License Status

NOT RENEWED

Business

Title

First Name

KI WAN

Last Name

KIM

Business Name

KI WAN KIM MD

Original Issue Date

05/04/2011

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021