SAMUEL JAEJIN CHUNG DO - Medical Doctor License in Illinois | # 125029941

SAMUEL JAEJIN CHUNG DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029941

License Status

EXPIRED

Business

N

First Name

SAMUEL

Middle

JAEJIN

Last Name

CHUNG

Suffix

DO

Business Name

SAMUEL JAEJIN CHUNG DO

Original Issue Date

05/28/1993

Effective Date

05/28/1993

Expiration Date

06/20/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006