MUI DUC PHO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

MUI DUC

Last Name

PHO

Suffix

Business Name

MUI DUC PHO MD

Original Issue Date

08/27/1993

Effective Date

08/27/1993

Expiration Date

07/31/1999

City

SALEM

State

Zip

62881

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006