BUN SIU CO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

BUN SIU

Last Name

Suffix

Business Name

BUN SIU CO MD

Original Issue Date

01/01/1997

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020