TIMOTHY CHUNG COOPER MD - Medical Doctor License in Illinois | # 125064582

TIMOTHY CHUNG COOPER MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064582

License Status

CANCELLED

Business

N

First Name

TIMOTHY

Middle

CHUNG

Last Name

COOPER

Suffix

MD

Business Name

TIMOTHY CHUNG COOPER MD

Original Issue Date

06/22/2014

Effective Date

06/22/2014

Expiration Date

06/21/2017

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/19/2014