DOUG JAE CHUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045184

License Status

NOT RENEWED

Business

First Name

DOUG JAE

Last Name

CHUNG

Suffix

Business Name

DOUG JAE CHUNG MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006