KELLEN KYOUNG WO CHOI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

KELLEN KYOUNG WO

Last Name

CHOI

Business Name

KELLEN KYOUNG WO CHOI

Original Issue Date

09/30/2004

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023