CHANG SUN KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

CHANG SUN

Last Name

KIM

Suffix

Business Name

CHANG SUN KIM MD

Original Issue Date

10/22/1996

Effective Date

10/22/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020