CHONG HWAN KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

CHONG

Middle

HWAN

Last Name

KIM

Suffix

Business Name

CHONG HWAN KIM MD

Original Issue Date

08/09/2001

Effective Date

08/09/2001

Expiration Date

07/31/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020