DEREK MYUNGIL KIM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

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

GLENVIEW

State

Zip

60025

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2026