BOO KYUNG KIM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

NOT RENEWED

Business

First Name

BOO KYUNG

Last Name

KIM

Prefix

Business Name

BOO KYUNG KIM

Original Issue Date

07/06/2022

Effective Date

07/06/2022

Expiration Date

03/01/2024

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025