THEODORE D CHUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091631

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

CHUNG

Suffix

Business Name

THEODORE D CHUNG MD

Original Issue Date

08/21/1995

Effective Date

08/21/1995

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2011