PETER S KIM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

PETER

Middle

Last Name

KIM

Business Name

PETER S KIM

Original Issue Date

04/13/1995

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023