SANG TAE KIM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096876

License Status

INACTIVE

Business

First Name

SANG

Middle

TAE

Last Name

KIM

Suffix

Business Name

SANG TAE KIM MD

Original Issue Date

10/21/1997

Effective Date

10/21/1997

Expiration Date

07/31/2002

City

PAMPA

State

Zip

79065

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006