SAMUEL C KIM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100701

License Status

INACTIVE

Business

First Name

SAMUEL

Middle

Last Name

KIM

Suffix

Business Name

SAMUEL C KIM MD

Original Issue Date

07/16/1999

Effective Date

07/16/1999

Expiration Date

07/31/2002

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006