JAGDEEP S TUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

JAGDEEP

Middle

Last Name

TUNG

Suffix

Business Name

JAGDEEP S TUNG MD

Original Issue Date

08/09/2002

Effective Date

08/09/2002

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2016