JEAN O 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

First Name

JEAN

Middle

Last Name

KIM

Suffix

Business Name

JEAN O KIM MD

Original Issue Date

10/14/1999

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023