GENE TACK CHUNG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****35

NOT RENEWED

N

MD

GENE

TACK

CHUNG

GENE TACK CHUNG MD

08/02/2010

09/14/2020

07/31/2023

BURBANK

IL

60459

COOK

PRACTITIONER

II III IV V

N

11/30/2023