KELLY CHUNG WALSH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046447

License Status

CANCELLED

Business

Title

First Name

KELLY

Middle

CHUNG

Last Name

WALSH

Business Name

KELLY CHUNG WALSH MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006