BETTY J KUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

BETTY

Middle

Last Name

KUNG

Suffix

Business Name

BETTY J KUNG MD

Original Issue Date

02/01/1999

Effective Date

02/01/1999

Expiration Date

07/31/1999

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006