DONGHYUN KIM OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****92

License Status

NOT RENEWED

Business

Title

First Name

DONGHYUN

Last Name

KIM

Business Name

DONGHYUN KIM OD

Original Issue Date

08/24/2019

Effective Date

08/24/2019

Expiration Date

09/30/2020

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021