JINSUP KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

JINSUP

Last Name

KIM

Suffix

Business Name

JINSUP KIM MD

Original Issue Date

01/01/1997

Effective Date

12/17/2020

Expiration Date

07/31/2023

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023