JISUN JOY KIM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078708

License Status

EXPIRED

Business

Title

First Name

JISUN

Middle

JOY

Last Name

KIM

Business Name

JISUN JOY KIM DO

Original Issue Date

06/25/2021

Effective Date

06/25/2021

Expiration Date

06/24/2024

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024