JEANNE I KIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

JEANNE

Middle

Last Name

KIM

Business Name

JEANNE I KIM

Original Issue Date

05/02/2002

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

SHELBY TOWNSHIP

State

Zip

48317

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017