PAUL AUGUSTINE CHUNG DO - Medical Doctor License in Illinois | # 125065124

PAUL AUGUSTINE CHUNG DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065124

License Status

CANCELLED

Business

N

Title

DO

First Name

PAUL

Middle

AUGUSTINE

Last Name

CHUNG

Business Name

PAUL AUGUSTINE CHUNG DO

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

05/09/2014