LISA S KIM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023540

License Status

EXPIRED

Business

First Name

LISA S

Last Name

KIM

Business Name

LISA S KIM

Original Issue Date

05/05/1989

Effective Date

05/05/1989

Expiration Date

07/01/1992

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006