RITA G HUNGATE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

RITA

Middle

Last Name

HUNGATE

Suffix

Business Name

RITA G HUNGATE MD

Original Issue Date

09/30/1999

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014