DEBBIE J KIM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****31

License Status

NOT RENEWED

Business

Title

First Name

DEBBIE

Middle

Last Name

KIM

Business Name

DEBBIE J KIM OD

Original Issue Date

03/04/2015

Effective Date

03/04/2015

Expiration Date

03/31/2016

City

MARINA DEL REY

State

Zip

90292

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016