KENNETH D JUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

KENNETH D

Last Name

JUNG

Suffix

Business Name

KENNETH D JUNG MD

Original Issue Date

09/29/1994

Effective Date

09/29/1994

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

09/26/2006