ANDREW D KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

Last Name

KIM

Business Name

ANDREW D KIM MD

Original Issue Date

12/14/2023

Effective Date

12/14/2023

Expiration Date

07/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/14/2023