KEVIN SEUNGIL KIM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

SEUNGIL

Last Name

KIM

Business Name

KEVIN SEUNGIL KIM DO

Original Issue Date

12/03/2010

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

MONTICELLO

State

Zip

61856

County

PIATT

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023