SANGHEE KIM-ANSBRO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

SANGHEE

Last Name

KIM-ANSBRO

Business Name

SANGHEE KIM-ANSBRO

Original Issue Date

08/01/2002

Effective Date

11/18/2011

Expiration Date

07/31/2014

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020