EUNG MAN CHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

EUNG MAN

Last Name

CHA

Suffix

Business Name

EUNG MAN CHA MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

04/07/2011