CHONG SOO RIM MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****94

NOT RENEWED

N

MD

CHONG

SOO

RIM

CHONG SOO RIM MD

01/01/1997

06/14/2017

09/30/2020

PARK RIDGE

IL

60068

COOK

II III IV V

N

01/14/2021