ANTHONY W KIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

KIM

Business Name

ANTHONY W KIM

Original Issue Date

06/22/2004

Effective Date

05/28/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020