SANGSEOP KIM Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000165

License Status

NOT RENEWED

Business

First Name

SANGSEOP

Last Name

KIM

Business Name

SANGSEOP KIM

Original Issue Date

10/27/2009

Effective Date

07/11/2019

Expiration Date

01/31/2022

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/18/2022