IL BONG 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

IL BONG

Last Name

KIM

Suffix

Business Name

IL BONG KIM MD

Original Issue Date

01/01/1997

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020