JIN AHN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062482

License Status

CANCELLED

Business

Title

First Name

JIN

Last Name

AHN

Business Name

JIN AHN DO

Original Issue Date

08/15/2012

Effective Date

08/15/2012

Expiration Date

08/14/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014