MARIAN SOOJIN KIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

CANCELLED

Business

Title

First Name

MARIAN

Middle

SOOJIN

Last Name

KIM

Business Name

MARIAN SOOJIN KIM MD

Original Issue Date

03/05/2010

Effective Date

03/05/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011