FREDERICK YANFENG SU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061747

License Status

CANCELLED

Business

Title

First Name

FREDERICK YANFENG

Last Name

Business Name

FREDERICK YANFENG SU MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/24/2014