JEONG-A KIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073651

License Status

CANCELLED

Business

Title

First Name

JEONG-A

Last Name

KIM

Business Name

JEONG-A KIM MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

12/15/2021