GORDON L KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

GORDON L

Last Name

KIM

Suffix

Business Name

GORDON L KIM MD

Original Issue Date

08/11/1994

Effective Date

08/11/1994

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006