JI SO RYU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051178

License Status

NOT RENEWED

Business

First Name

JI SO

Last Name

RYU

Suffix

Business Name

JI SO RYU MD

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

07/31/1987

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/20/2006