FREDERICK YANFENG SU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138193

License Status

NOT RENEWED

Business

Title

First Name

FREDERICK YANFENG

Last Name

Business Name

FREDERICK YANFENG SU MD

Original Issue Date

06/08/2015

Effective Date

06/08/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017