MARK R MCCLUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

MARK R

Last Name

MCCLUNG

Suffix

Business Name

MARK R MCCLUNG MD

Original Issue Date

07/31/1990

Effective Date

07/31/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006