INWHA KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

INWHA

Last Name

KIM

Suffix

Business Name

INWHA KIM MD

Original Issue Date

03/24/2005

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61802

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023