CHARLES SOONKYU AHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

SOONKYU

Last Name

AHN

Suffix

Business Name

CHARLES SOONKYU AHN MD

Original Issue Date

01/20/1999

Effective Date

01/20/1999

Expiration Date

07/31/2002

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020