ERIC DANIEL JUNG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

DANIEL

Last Name

JUNG

Business Name

ERIC DANIEL JUNG MD

Original Issue Date

01/29/2019

Effective Date

01/29/2019

Expiration Date

09/30/2020

City

LA GRANGE

State

Zip

60526

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021