JISU A KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

JISU

Middle

Last Name

KIM

Suffix

Business Name

JISU A KIM MD

Original Issue Date

05/19/1999

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023