SUSIE CARITAS KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

SUSIE

Middle

CARITAS

Last Name

KIM

Suffix

Business Name

SUSIE CARITAS KIM MD

Original Issue Date

02/25/1999

Effective Date

02/25/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006