MICHELLE WON GYUNG KANG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067159

License Status

CANCELLED

Business

Title

First Name

MICHELLE

Middle

WON GYUNG

Last Name

KANG

Business Name

MICHELLE WON GYUNG KANG DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

06/02/2015