DAEWON KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

DAEWON

Last Name

KIM

Business Name

DAEWON KIM MD

Original Issue Date

05/13/2019

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023