KWANG P CHUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

KWANG P

Last Name

CHUNG

Suffix

Business Name

KWANG P CHUNG MD

Original Issue Date

01/01/1997

Effective Date

01/23/2018

Expiration Date

09/30/2020

City

EARLVILLE

State

Zip

60518

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021