FA-FUNG H MAK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027145

License Status

EXPIRED

Business

First Name

FA-FUNG

Middle

Last Name

MAK

Business Name

FA-FUNG H MAK

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006