ELLIE I CHUANG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109236

License Status

NOT RENEWED

Business

First Name

ELLIE

Middle

Last Name

CHUANG

Suffix

Business Name

ELLIE I CHUANG MD

Original Issue Date

05/13/2003

Effective Date

05/13/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006