RAELENE DAWN KENNEDY KIM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066018

License Status

EXPIRED

Business

Title

First Name

RAELENE

Middle

DAWN

Last Name

KENNEDY KIM

Business Name

RAELENE DAWN KENNEDY KIM MD

Original Issue Date

07/02/2014

Effective Date

07/02/2014

Expiration Date

07/01/2015

City

OAK PARK

State

Zip

60302

Specialty/Qualifier

Surgical Critical Care

Ever Disciplined

LastModifiedDate

09/04/2015