BUP JONG JENNIFER KUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136712

License Status

NOT RENEWED

Business

Title

First Name

BUP JONG

Middle

JENNIFER

Last Name

KUM

Business Name

BUP JONG JENNIFER KUM MD

Original Issue Date

10/22/2014

Effective Date

10/22/2014

Expiration Date

07/31/2017

City

SEATTLE

State

Zip

98104

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

11/01/2017