DONG S KIM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

DONG

Middle

Last Name

KIM

Business Name

DONG S KIM

Original Issue Date

08/21/2000

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2023