JAE H KIM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114926

License Status

NOT RENEWED

Business

First Name

JAE

Middle

Last Name

KIM

Business Name

JAE H KIM

Original Issue Date

11/29/2005

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

GREENVILLE

State

Zip

27858

Ever Disciplined

LastModifiedDate

01/14/2021