HAROLD E KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

HAROLD E

Last Name

KIM

Suffix

Business Name

HAROLD E KIM MD

Original Issue Date

08/11/1988

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014