KEVIN SEUNGIL KIM DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055337

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

SEUNGIL

Last Name

KIM

Business Name

KEVIN SEUNGIL KIM DO

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/19/2008