KYUNGAI MIREILLE CHAE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

KYUNGAI

Middle

MIREILLE

Last Name

CHAE

Suffix

Business Name

KYUNGAI MIREILLE CHAE MD

Original Issue Date

05/04/1998

Effective Date

05/04/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020