JISOO KIM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069009

License Status

EXPIRED

Business

Title

First Name

JISOO

Last Name

KIM

Business Name

JISOO KIM MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2017

City

BOSTON

State

Zip

02115

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

09/19/2017