ELLEN EUNHAE KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

EUNHAE

Last Name

KIM

Suffix

Business Name

ELLEN EUNHAE KIM MD

Original Issue Date

08/27/2003

Effective Date

08/27/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020