AMY KIM YETASOOK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063845

License Status

EXPIRED

Business

Title

First Name

AMY

Middle

KIM

Last Name

YETASOOK

Business Name

AMY KIM YETASOOK MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/25/2018