CHUNG SUP KIM - Registered Nurse License in Illinois | # 041176487

CHUNG SUP KIM

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176487

License Status

INACTIVE

Business

N

First Name

CHUNG SUP

Last Name

KIM

Business Name

CHUNG SUP KIM

Original Issue Date

10/12/1977

Effective Date

05/20/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026