THAW TUN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

THAW

Last Name

TUN

Business Name

THAW TUN MD

Original Issue Date

07/12/2002

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023