LANCE Y KIM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029249

License Status

EXPIRED

Business

First Name

LANCE Y

Last Name

KIM

Suffix

Business Name

LANCE Y KIM DO

Original Issue Date

04/14/1993

Effective Date

04/14/1993

Expiration Date

06/20/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006