MICKY J CHUN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103627

License Status

NOT RENEWED

Business

First Name

MICKY

Middle

Last Name

CHUN

Business Name

MICKY J CHUN

Original Issue Date

10/11/2000

Effective Date

10/11/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006