TAE-SUP CHUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048380

License Status

NOT RENEWED

Business

First Name

TAE-SUP

Last Name

CHUNG

Suffix

Business Name

TAE-SUP CHUNG MD

Original Issue Date

10/06/1973

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LAKE IN THE HILLS

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/06/2008