Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
|
KIM, ANDREW SEONG
|
|
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
|
| Practice Address: |
4913 E. FIRESTONE DRIVE
CHANDLER AZ 85249
Address last updated on 1/24/2009 |
| Phone #: |
(480) 656-8935 |
| Fax #: |
(480) 656-8935 |
| County: |
NOT OKLAHOMA |
| License: |
23799 |
| Dated: |
2/6/2004 |
| Expires: |
2/1/2010 |
|
Temp.
Lic.
Issued:
|
1/22/2004 |
|
Temp.
Lic.
Expires:
|
3/30/2004 |
| License Type: |
Medical Doctor |
| Specialty: |
Anatomic/Clinical Pathology
Anatomic Pathology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Yonsei Univ, Coll Of Med, Sudai-Moon-Ku, Seoul, So Korea |
| Graduated: |
2 /
1971 |
| CME Year: |
2010 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF PATHOLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
|
| Locations: |
Hours: |
Languages: |
4913 E. FIRESTONE DRIVE
CHANDLER AZ 85249
Phone #:
(480) 656-8935
Fax #:
(480) 656-8935 |
Mon: LOCUM TENENS
Tue: LOCUM TENENS
Wed: LOCUM TENENS
Thu: LOCUM TENENS
Fri: LOCUM TENENS
Sat: LOCUM TENENS
Sun: LOCUM TENENS |
|
|
|
|
Return to Search Licensees page
