NIKKI NA YEON KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

NIKKI

Middle

NA YEON

Last Name

KIM

Business Name

NIKKI NA YEON KIM MD

Original Issue Date

08/26/2014

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021