SUNG SUP KIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

SUNG SUP

Last Name

KIM

Business Name

SUNG SUP KIM

Original Issue Date

06/29/1989

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023