TONG SU 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

TONG SU

Last Name

KIM

Suffix

Business Name

TONG SU KIM MD

Original Issue Date

12/03/1992

Effective Date

12/03/1992

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60651

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020