JONG KOO KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JONG KOO

Last Name

KIM

Suffix

Business Name

JONG KOO KIM MD

Original Issue Date

01/01/1997

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

DEERFIELD

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017