JONG IN KIM MD Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005206

License Status

NOT RENEWED

Business

First Name

JONG

Middle

Last Name

KIM

Suffix

Business Name

JONG IN KIM MD

Original Issue Date

07/22/2004

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/16/2007