SU HYEON JUNG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060750

License Status

CANCELLED

Business

Title

First Name

SU HYEON

Last Name

JUNG

Business Name

SU HYEON JUNG MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

MIWAUKEE

State

Zip

53203

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014