License Directory

Dien Kim Ta Md

Expired

Illinois license 036058804

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036058804
Status
Expired (Not Renewed)
First issued
June 18, 1979
Expired
July 31, 1984
License holder
Dien Kim Ta Md
Entity type
Individual

Classifications

More from the license record

Current term began
06/18/1979

Other Illinois licenses under this name

  • IL
    Dien Kim Ta Md
    License 33*****92
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Chicago, IL
    Expired Sep 1, 1982

Contact

Calumet, IL 60409
Cook County