DANIEL KYU JEONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

DANIEL

Middle

KYU

Last Name

JEONG

Business Name

DANIEL KYU JEONG MD

Original Issue Date

04/16/2013

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