WAN CHUNG CHI MD - Medical Doctor License in Illinois | # 125041083

WAN CHUNG CHI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041083

License Status

EXPIRED

Business

N

First Name

WAN

Middle

CHUNG

Last Name

CHI

Suffix

MD

Business Name

WAN CHUNG CHI MD

Original Issue Date

06/22/2000

Effective Date

06/22/2000

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006