SOO AH KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130477

License Status

NOT RENEWED

Business

Title

First Name

SOO

Middle

Last Name

KIM

Business Name

SOO AH KIM MD

Original Issue Date

06/05/2012

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017