THAW TUN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

THAW

Last Name

TUN

Business Name

THAW TUN MD

Original Issue Date

04/02/2009

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

HENRY

State

Zip

61537

County

MARSHALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023