JONATHAN SUNG CHAN KIM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054778

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

SUNG CHAN

Last Name

KIM

Business Name

JONATHAN SUNG CHAN KIM MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/19/2011