PETER SHYNNE KIM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064627

License Status

EXPIRED

Business

Title

First Name

PETER

Middle

SHYNNE

Last Name

KIM

Business Name

PETER SHYNNE KIM MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/19/2017