NOAH EUISUB KIM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

NOAH

Middle

EUISUB

Last Name

KIM

Business Name

NOAH EUISUB KIM

Original Issue Date

09/18/2023

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

MCHENRY

State

Zip

60050

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026