BENJAMIN KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Last Name

KIM

Business Name

BENJAMIN KIM MD

Original Issue Date

10/04/2023

Effective Date

10/04/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/04/2023