CATHERINE SOYOUNG KIM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****52

License Status

NOT RENEWED

Business

Title

First Name

CATHERINE

Middle

SOYOUNG

Last Name

KIM

Business Name

CATHERINE SOYOUNG KIM OD

Original Issue Date

03/21/2016

Effective Date

03/21/2016

Expiration Date

03/31/2018

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018