HAN CHUNG NG MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****62

NOT RENEWED

N

HAN CHUNG

NG

MD

HAN CHUNG NG MD

01/01/1997

04/21/2011

07/31/2014

LAKE FOREST

IL

60045

LAKE

II III IV V

N

11/17/2014