SUN BUM KIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

SUN BUM

Last Name

KIM

Business Name

SUN BUM KIM

Original Issue Date

07/20/1998

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020