BRIAN TAE KIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071217

License Status

CANCELLED

Business

Title

First Name

BRIAN

Middle

TAE

Last Name

KIM

Business Name

BRIAN TAE KIM MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/02/2017