STANLEY W KIM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055286

License Status

INACTIVE

Business

First Name

STANLEY W

Last Name

KIM

Suffix

Business Name

STANLEY W KIM MD

Original Issue Date

08/11/1977

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014