PETER S KIM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029212

License Status

EXPIRED

Business

First Name

PETER

Middle

Last Name

KIM

Business Name

PETER S KIM

Original Issue Date

03/03/1993

Effective Date

03/03/1993

Expiration Date

03/01/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006