SUSAN LEE KIM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050850

License Status

CANCELLED

Business

First Name

SUSAN

Middle

LEE

Last Name

KIM

Suffix

Business Name

SUSAN LEE KIM DO

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006