POYEE PANSY TUNG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

CANCELLED

Business

First Name

POYEE

Middle

PANSY

Last Name

TUNG

Suffix

Business Name

POYEE PANSY TUNG MD

Original Issue Date

05/19/2005

Effective Date

06/02/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008