SAMUEL JAEJIN CHUNG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092118

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

JAEJIN

Last Name

CHUNG

Suffix

Business Name

SAMUEL JAEJIN CHUNG DO

Original Issue Date

11/01/1995

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

JACKSON

State

Zip

38305

County

TENNESSEE

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2005008045

Action

Reprimand

Discipline Start Date

01/27/2006

Discipline Reason

Sister state discipline.