THEODORE D CHUNG MD - Medical Doctor License in Illinois | # 036091631

THEODORE D CHUNG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091631

License Status

NOT RENEWED

Business

N

First Name

THEODORE

Middle

D

Last Name

CHUNG

Suffix

MD

Business Name

THEODORE D CHUNG MD

Original Issue Date

08/21/1995

Effective Date

08/21/1995

Expiration Date

07/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2011