CHI C DU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105468

License Status

NOT RENEWED

Business

First Name

CHI

Middle

Last Name

Suffix

Business Name

CHI C DU MD

Original Issue Date

08/23/2001

Effective Date

08/23/2001

Expiration Date

07/31/2005

City

ADDISON

State

Zip

60101

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006