ANNISE KIEU CHUNG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156210

License Status

ACTIVE

Business

Title

First Name

ANNISE

Middle

KIEU

Last Name

CHUNG

Business Name

ANNISE KIEU CHUNG DO

Original Issue Date

03/22/2021

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHARLOTTE

State

Zip

28277

Ever Disciplined

LastModifiedDate

05/13/2025