CHUNG W NG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****58

NOT RENEWED

N

CHUNG W

NG

MD

CHUNG W NG MD

03/15/1983

03/15/1983

07/31/1987

LOS ANGELES

CA

90012

CALIFORNIA

II III IV V

N

04/05/2020