YOUNG SOP PAE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045033

License Status

INACTIVE

Business

Title

First Name

YOUNG

Middle

SOP

Last Name

PAE

Business Name

YOUNG SOP PAE MD

Original Issue Date

11/29/1971

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014