JENNIFER KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Last Name

KIM

Business Name

JENNIFER KIM MD

Original Issue Date

08/05/2020

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

SHREVEPORT

State

Zip

71106

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023