GENE TACK CHUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126248

License Status

NOT RENEWED

Business

Title

First Name

GENE

Middle

TACK

Last Name

CHUNG

Business Name

GENE TACK CHUNG MD

Original Issue Date

07/14/2010

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023