CHONG SOO KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050586

License Status

NOT RENEWED

Business

First Name

CHONG SOO

Last Name

KIM

Suffix

Business Name

CHONG SOO KIM MD

Original Issue Date

02/25/1975

Effective Date

02/25/1975

City

INDIANAPOLIS

State

Zip

46224

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006