TEDDY EARL KIM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064972

License Status

EXPIRED

Business

Title

First Name

TEDDY

Middle

EARL

Last Name

KIM

Business Name

TEDDY EARL KIM MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/04/2015