JUYEON CHUNG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006581

License Status

NOT RENEWED

Business

First Name

JUYEON

Last Name

CHUNG

Business Name

JUYEON CHUNG

Original Issue Date

05/03/2018

Effective Date

05/03/2018

Expiration Date

03/01/2020

City

NEW HAVEN

State

Zip

06511

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/24/2020