RUSSELL WERNER JUNG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

RUSSELL WERNER

Last Name

JUNG

Business Name

RUSSELL WERNER JUNG

Original Issue Date

08/23/1984

Effective Date

09/28/2009

Expiration Date

09/30/2012

City

MORTON GROVE

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012