SOO-JEONG KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

SOO-JEONG

Last Name

KIM

Suffix

Business Name

SOO-JEONG KIM MD

Original Issue Date

08/07/2003

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011