JOSEPH D VIJUNGCO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

VIJUNGCO

Business Name

JOSEPH D VIJUNGCO

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006