ETHAN SUNG KO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157348

License Status

NOT RENEWED

Business

Title

First Name

ETHAN

Middle

SUNG

Last Name

Business Name

ETHAN SUNG KO MD

Original Issue Date

06/10/2021

Effective Date

06/10/2021

Expiration Date

07/31/2023

City

FREDERICKSBURG

State

Zip

22408

Ever Disciplined

LastModifiedDate

11/30/2023