MIN KWAN KIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

MIN

Middle

KWAN

Last Name

KIM

Business Name

MIN KWAN KIM

Original Issue Date

12/13/2010

Effective Date

05/03/2011

Expiration Date

07/31/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014