TAE KIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068738

License Status

CANCELLED

Business

Title

First Name

TAE

Last Name

KIM

Business Name

TAE KIM MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/17/2019