MICKEY JUSTIN MYLES KUO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067676

License Status

EXPIRED

Business

Title

First Name

MICKEY

Middle

JUSTIN MYLES

Last Name

KUO

Business Name

MICKEY JUSTIN MYLES KUO MD

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

06/21/2019

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

10/02/2019