TAE LYONG AN MD 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

TAE LYONG

Last Name

Suffix

Business Name

TAE LYONG AN MD

Original Issue Date

12/26/2001

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021