GENE TACK CHUNG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053543

License Status

EXPIRED

Business

Title

First Name

GENE

Middle

TACK

Last Name

CHUNG

Business Name

GENE TACK CHUNG MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

TROY

State

Zip

48084

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/08/2010