KUBINNE KIM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

KUBINNE

Last Name

KIM

Business Name

KUBINNE KIM

Original Issue Date

12/09/2008

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

BOSTON

State

Zip

02115

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023