SANGGYU BAE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

SANGGYU

Last Name

BAE

Business Name

SANGGYU BAE MD

Original Issue Date

09/15/2023

Effective Date

09/15/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2023