DEREK MYUNGIL KIM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010554

License Status

ACTIVE

Business

First Name

DEREK

Middle

MYUNGIL

Last Name

KIM

Business Name

DEREK MYUNGIL KIM

Original Issue Date

08/02/2024

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

NORTHBROOK

State

Zip

60062

Ever Disciplined

LastModifiedDate

02/02/2026