JUNG WOOK KANG SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057450

License Status

CANCELLED

Business

Title

First Name

JUNG

Middle

WOOK

Last Name

KANG SMITH

Business Name

JUNG WOOK KANG SMITH MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/28/2010