GARY M BUNGER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

GARY M

Last Name

BUNGER

Suffix

DMD

Business Name

GARY M BUNGER DMD

Original Issue Date

01/01/1998

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012