TAE LYONG AN MD - Medical Doctor License in Illinois | # 036044558

TAE LYONG AN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044558

License Status

NOT RENEWED

Business

N

First Name

TAE LYONG

Last Name

AN

Suffix

MD

Business Name

TAE LYONG AN MD

Original Issue Date

08/09/1981

Effective Date

08/01/2017

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021