TIMOTHY CHUNG COOPER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142168

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

CHUNG

Last Name

COOPER

Suffix

Business Name

TIMOTHY CHUNG COOPER MD

Original Issue Date

01/04/2017

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021