REGINA J KIM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045080

License Status

EXPIRED

Business

First Name

REGINA

Middle

Last Name

KIM

Business Name

REGINA J KIM

Original Issue Date

06/28/2002

Effective Date

06/28/2002

Expiration Date

06/27/2005

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006