TAE-SUP CHUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

TAE-SUP

Last Name

CHUNG

Suffix

Business Name

TAE-SUP CHUNG MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008