KRISTINA J KIM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

Last Name

KIM

Suffix

Business Name

KRISTINA J KIM DO

Original Issue Date

08/15/2005

Effective Date

08/15/2005

Expiration Date

07/31/2008

City

LEWISVILLE

State

Zip

75056

County

TEXAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008