ANDY TUKI KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

ANDY

Middle

TUKI

Last Name

KIM

Business Name

ANDY TUKI KIM MD

Original Issue Date

10/03/2017

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023