MARY INEZ NUNCHUCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

MARY INEZ

Last Name

NUNCHUCK

Suffix

Business Name

MARY INEZ NUNCHUCK MD

Original Issue Date

09/04/1981

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

WAUKEGAN

State

Zip

60087

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020