JOHN S KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

KIM

Suffix

Business Name

JOHN S KIM MD

Original Issue Date

03/26/2004

Effective Date

03/26/2004

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017