BRANDON MICHAEL BUNGO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

BRANDON

Middle

MICHAEL

Last Name

BUNGO

Business Name

BRANDON MICHAEL BUNGO MD

Original Issue Date

02/01/2024

Effective Date

02/01/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/01/2024