JENNIE CHUNG-YI HSU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040896

License Status

EXPIRED

Business

Title

First Name

JENNIE

Middle

CHUNG-YI

Last Name

HSU

Business Name

JENNIE CHUNG-YI HSU MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006