JASON C CHUNG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048514

License Status

EXPIRED

Business

First Name

JASON

Middle

Last Name

CHUNG

Suffix

Business Name

JASON C CHUNG MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

09/22/2006