TAE KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

TAE

Last Name

KIM

Business Name

TAE KIM MD

Original Issue Date

08/18/2022

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023