ANDREW GENE KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

GENE

Last Name

KIM

Business Name

ANDREW GENE KIM MD

Original Issue Date

03/06/2023

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023