SUYEUN BAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068194

License Status

CANCELLED

Business

Title

First Name

SUYEUN

Last Name

BAN

Business Name

SUYEUN BAN MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60623

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/05/2016