MARY INEZ NUNCHUCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

MARY INEZ

Last Name

NUNCHUCK

Suffix

Business Name

MARY INEZ NUNCHUCK MD

Original Issue Date

07/14/1987

Effective Date

07/14/1987

Expiration Date

07/31/1993

City

LINDENHURST

State

Zip

60046

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020