RAELENE DAWN KENNEDY 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

RAELENE

Middle

DAWN

Last Name

KENNEDY KIM

Business Name

RAELENE DAWN KENNEDY KIM MD

Original Issue Date

07/12/2019

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023