TAE LYONG AN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044558

License Status

NOT RENEWED

Business

First Name

TAE LYONG

Last Name

Suffix

Business Name

TAE LYONG AN MD

Original Issue Date

08/09/1981

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021