KATHERINE JEONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

KATHERINE

Last Name

JEONG

Business Name

KATHERINE JEONG

Original Issue Date

05/04/2011

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017