JAE H KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

JAE H

Last Name

KIM

Suffix

Business Name

JAE H KIM MD

Original Issue Date

08/05/1997

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023