KENNETH K KIM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040206

License Status

EXPIRED

Business

First Name

KENNETH

Middle

Last Name

KIM

Business Name

KENNETH K KIM

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006