THEODORE H KIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051554

License Status

NOT RENEWED

Business

First Name

THEODORE H

Last Name

KIM

Suffix

Business Name

THEODORE H KIM MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/01/1982

City

STATEN ISLAND

State

Zip

10301

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006