OKKYUNG KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

OKKYUNG

Last Name

KIM

Business Name

OKKYUNG KIM MD

Original Issue Date

02/19/2014

Effective Date

02/19/2014

Expiration Date

07/31/2014

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017