DAVID JOSEPH HARTUNG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JOSEPH

Last Name

HARTUNG

Suffix

Business Name

DAVID JOSEPH HARTUNG DO

Original Issue Date

07/16/2004

Effective Date

07/16/2004

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008