STEPHANIE HEEYEON KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

STEPHANIE

Middle

HEEYEON

Last Name

KIM

Business Name

STEPHANIE HEEYEON KIM MD

Original Issue Date

09/19/2023

Effective Date

09/19/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2023