SAMUEL JAEJIN CHUNG DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029941

License Status

EXPIRED

Business

First Name

SAMUEL

Middle

JAEJIN

Last Name

CHUNG

Suffix

Business Name

SAMUEL JAEJIN CHUNG DO

Original Issue Date

05/28/1993

Effective Date

05/28/1993

Expiration Date

06/20/1996

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006