MUI DUC PHO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

MUI DUC

Last Name

PHO

Suffix

Business Name

MUI DUC PHO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006