CHARLES BONGSIK CHOE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

BONGSIK

Last Name

CHOE

Business Name

CHARLES BONGSIK CHOE

Original Issue Date

12/16/2010

Effective Date

12/21/2011

Expiration Date

03/01/2014

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2015