GRACE TUNG WU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054643

License Status

EXPIRED

Business

First Name

GRACE

Middle

TUNG

Last Name

Suffix

Business Name

GRACE TUNG WU MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

08/29/2012