PIL CHUNG JENNY DELCAMPO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

PIL CHUNG

Middle

JENNY

Last Name

DELCAMPO

Business Name

PIL CHUNG JENNY DELCAMPO

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

07/31/2005

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006