ANDREW GENE KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163079

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

GENE

Last Name

KIM

Business Name

ANDREW GENE KIM MD

Original Issue Date

12/05/2022

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2023