SAMUEL W KIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061429

License Status

CANCELLED

Business

First Name

SAMUEL

Middle

Last Name

KIM

Suffix

Business Name

SAMUEL W KIM MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/24/2014