CHARLES KYUNG-KWON KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

KYUNG-KWON

Last Name

KIM

Suffix

Business Name

CHARLES KYUNG-KWON KIM MD

Original Issue Date

04/18/2002

Effective Date

04/18/2002

Expiration Date

07/31/2008

City

ROUND LAKE

State

Zip

60073

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008