SOON OK KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

SOON

Middle

Last Name

KIM

Suffix

Business Name

SOON OK KIM MD

Original Issue Date

06/14/2001

Effective Date

06/14/2001

Expiration Date

07/31/2005

City

VANDALIA

State

Zip

62471

County

CLINTON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006