CHANG-YOUNG KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

CHANG-YOUNG

Last Name

KIM

Suffix

Business Name

CHANG-YOUNG KIM MD

Original Issue Date

07/14/2000

Effective Date

07/14/2000

Expiration Date

07/31/2002

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006