The holder whose full name is KIM, CHONG SOO,come from EVANSVILLE IN,hold the Physician license(NO.01026410A) which status is Expired Non-Renewable.
| Name | KIM, CHONG SOO |
|---|---|
| License Number | 01026410A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | EVANSVILLE |
| State | IN |