DONG S KIM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034360

License Status

EXPIRED

Business

First Name

DONG

Middle

Last Name

KIM

Business Name

DONG S KIM

Original Issue Date

05/15/1996

Effective Date

05/15/1996

Expiration Date

06/19/2000

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006