THERESA ANNE VAN GUNDY 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

THERESA ANNE

Last Name

VAN GUNDY

Suffix

Business Name

THERESA ANNE VAN GUNDY MD

Original Issue Date

10/16/1981

Effective Date

10/16/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60603

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006