Ellie Eunkyung Im
Physician Training at Ctr Blvd, Long Island City, NY

License number
Colorado 3160
Issued Date
Jul 1, 2009
Renew Date
Jul 1, 2009
Expiration Date
Jun 10, 2010
Type
Physician Training License
Address
Address
4720 Center Blvd APT 1613, Long Island City, NY 11109