JASON Y KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

KIM

Suffix

Business Name

JASON Y KIM MD

Original Issue Date

03/18/1986

Effective Date

03/18/1986

Expiration Date

07/31/1987

City

FORT SHERIDAN

State

Zip

60037

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017