JENNY KWAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048302

License Status

EXPIRED

Business

First Name

JENNY

Last Name

KWAK

Suffix

Business Name

JENNY KWAK MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2005

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006