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Licensing details for: PTL 12583

Name: Kim, Do Hyun

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: Loma Linda University School of Medicine

Graduation Year: 2023

Current Enrolled Postgraduate Training Program

Facility Name: SCRIPPS MERCY HOSPITAL PROGRAM

City: San Diego

State: California

Speciality: Transitional year

Start Date: 06/24/2023

Anticipated End Date: 06/23/2024

Address of Record

PO Box 8385
ROWLAND HEIGHTS CA 91748-0385
LOS ANGELES county
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Issuance Date

November 8, 2023

Expiration Date

N/A

Current Date / Time

June 19, 2026
6:02:43 PM

Public Record Actions

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: Kim, Do Hyun

License/Registration Type: Physician's and Surgeon's

License Number: 206420 Primary Status: License Renewed & Current

Address :
4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE COUNTY

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