EUI TAE KIM DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

Title

DPM

First Name

EUI TAE

Last Name

KIM

Business Name

EUI TAE KIM DPM

Original Issue Date

06/26/2023

Effective Date

01/18/2025

Expiration Date

01/31/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/18/2025