KWANGSUP S KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

KWANGSUP S

Last Name

KIM

Suffix

Business Name

KWANGSUP S KIM MD

Original Issue Date

09/16/1985

Effective Date

09/16/1985

Expiration Date

07/31/1993

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006