BYUNG ROCK OH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****99

NOT RENEWED

N

BYUNG ROCK

OH

MD

BYUNG ROCK OH MD

01/01/1997

04/28/2014

07/31/2017

SPRINGFIELD

IL

62794

SANGAMON

II III IV V

N

11/01/2017