STANLEY TAESON KIM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042122

License Status

EXPIRED

Business

First Name

STANLEY

Middle

TAESON

Last Name

KIM

Suffix

Business Name

STANLEY TAESON KIM MD

Original Issue Date

08/11/2000

Effective Date

08/11/2000

Expiration Date

08/14/2004

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006