EDWARD D KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

EDWARD D

Last Name

KIM

Suffix

Business Name

EDWARD D KIM MD

Original Issue Date

04/16/1992

Effective Date

04/16/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006