DAVID SHIN CHUNG Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003583

License Status

INACTIVE

Business

First Name

DAVID SHIN

Last Name

CHUNG

Business Name

DAVID SHIN CHUNG

Original Issue Date

06/24/1983

Effective Date

06/24/1983

Expiration Date

01/31/1985

City

BEAVERTON

State

Zip

97005

County

OREGON

Ever Disciplined

LastModifiedDate

09/25/2006