TAE WON KIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

CANCELLED

Business

First Name

TAE WON

Last Name

KIM

Suffix

Business Name

TAE WON KIM MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

CHARLESTON

State

Zip

29407

County

SOUTH CAROLINA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020