CHUN KHAI CHONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

First Name

CHUN

Middle

KHAI

Last Name

CHONG

Business Name

CHUN KHAI CHONG

Original Issue Date

01/20/2010

Effective Date

05/13/2014

Expiration Date

07/31/2017

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017