GWANG MOO KIM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

INACTIVE

Business

First Name

GWANG

Middle

MOO

Last Name

KIM

Suffix

Business Name

GWANG MOO KIM MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006