The holder whose full name is KIM, GIL SOO,come from RICHMOND IN,hold the Physician license(NO.01035679A) which status is Expired Non-Renewable.
| Name | KIM, GIL SOO |
|---|---|
| License Number | 01035679A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | RICHMOND |
| State | IN |