MICKY J CHUN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

MICKY

Middle

Last Name

CHUN

Business Name

MICKY J CHUN

Original Issue Date

12/14/2000

Effective Date

12/14/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006