MELISSA JOHNSON CHUNG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

JOHNSON

Last Name

CHUNG

Business Name

MELISSA JOHNSON CHUNG

Original Issue Date

11/08/2005

Effective Date

02/29/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

08/07/2023