BONNIE B C CHUN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056752

License Status

INACTIVE

Business

First Name

BONNIE B C

Last Name

CHUN

Business Name

BONNIE B C CHUN

Original Issue Date

05/19/1978

Effective Date

05/19/1978

Expiration Date

07/31/1987

City

FORT WAYNE

State

Zip

46805

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006