GLORIA I KIM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000371

License Status

EXPIRED

Business

First Name

GLORIA

Middle

Last Name

KIM

Suffix

Business Name

GLORIA I KIM MD

Original Issue Date

07/05/2009

Effective Date

07/05/2009

Expiration Date

01/04/2010

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Specialty/Qualifier

Occupational Medicine

Ever Disciplined

LastModifiedDate

02/03/2010