DAVID TAEWOONG CHUNG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

DAVID

Middle

TAEWOONG

Last Name

CHUNG

Suffix

Business Name

DAVID TAEWOONG CHUNG MD

Original Issue Date

09/18/2000

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023