CHUNG KI 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

CHUNG KI

Last Name

KIM

Suffix

Business Name

CHUNG KI KIM MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008