MIKE TAE SEOK KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

MIKE

Middle

TAE SEOK

Last Name

KIM

Suffix

Business Name

MIKE TAE SEOK KIM MD

Original Issue Date

07/02/2009

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023