ANDREW INSOO JUN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

INSOO

Last Name

JUN

Suffix

Business Name

ANDREW INSOO JUN MD

Original Issue Date

06/12/2001

Effective Date

06/12/2001

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020