IL SEUNG KWAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047958

License Status

NOT RENEWED

Business

First Name

IL SEUNG

Last Name

KWAK

Suffix

Business Name

IL SEUNG KWAK MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

City

FT WAYNE

State

Zip

46805

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006