HARRY H JUNG III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

HARRY

Middle

Last Name

JUNG

Suffix

III MD

Business Name

HARRY H JUNG III MD

Original Issue Date

07/13/2011

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014