PHUNG KIM LUONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

PHUNG KIM

Last Name

LUONG

Suffix

Business Name

PHUNG KIM LUONG MD

Original Issue Date

10/19/1992

Effective Date

10/19/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011