BRIAN TAE KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151240

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

TAE

Last Name

KIM

Business Name

BRIAN TAE KIM MD

Original Issue Date

11/19/2019

Effective Date

04/22/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023