DAMIAN DONGHO GWAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074214

License Status

CANCELLED

Business

Title

First Name

DAMIAN DONGHO

Last Name

GWAK

Business Name

DAMIAN DONGHO GWAK MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60605

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/21/2019