DONG O KIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

First Name

DONG

Middle

Last Name

KIM

Suffix

Business Name

DONG O KIM MD

Original Issue Date

08/23/2001

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

ALBANY

State

Zip

12205

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023