GINA JIN CHUNG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

NOT RENEWED

Business

First Name

GINA

Middle

JIN

Last Name

CHUNG

Business Name

GINA JIN CHUNG

Original Issue Date

08/21/2015

Effective Date

03/13/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/24/2020