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Next Update: Thursday, December 19, 2024 2:50 AM CST
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KIM, ELIJAH
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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.
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| Practice Address: |
301 NORTH 8TH STREET
SUITE 3B300
SPRINGFIELD IL 62769
Address last updated on 7/4/2024 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
35184 |
| Dated: |
9/6/2019 |
| Expires: |
9/1/2025 |
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Temp.
Lic.
Issued:
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8/21/2019 |
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Temp.
Lic.
Expires:
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9/12/2019 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
New York Univ Sch Of Med, New York Ny 10016 |
| Graduated: |
5 /
2009 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF SURGERY
AMERICAN BOARD OF SURGERY - Surgical Critical Care |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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