RAPHAEL CHUNPING SUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

RAPHAEL

Middle

CHUNPING

Last Name

SUN

Business Name

RAPHAEL CHUNPING SUN MD

Original Issue Date

11/15/2013

Effective Date

11/15/2013

Expiration Date

07/31/2014

City

MC LEANSBORO

State

Zip

62859

County

HAMILTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014