DANIEL SHINIL KIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

SHINIL

Last Name

KIM

Business Name

DANIEL SHINIL KIM

Original Issue Date

08/06/2008

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014