TONG SU KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

TONG SU

Last Name

KIM

Suffix

Business Name

TONG SU KIM MD

Original Issue Date

01/01/1997

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021