CHANG KWON KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

CHANG KWON

Last Name

KIM

Suffix

Business Name

CHANG KWON KIM MD

Original Issue Date

01/01/1997

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014