WONIL TAE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121542

License Status

ACTIVE

Business

Title

First Name

WONIL

Last Name

TAE

Business Name

WONIL TAE MD

Original Issue Date

07/24/2008

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

06/07/2023