The holder whose full name is KIM, JINSUP,come from HOMEWOOD IL,hold the Physician license(NO.01032576A) which status is Expired Non-Renewable.
| Name | KIM, JINSUP |
|---|---|
| License Number | 01032576A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | HOMEWOOD |
| State | IL |