DAE YUN KIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052964

License Status

CANCELLED

Business

Title

First Name

DAE

Middle

YUN

Last Name

KIM

Business Name

DAE YUN KIM MD

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2012

City

TULSA

State

Zip

74105

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

03/19/2010