BONG JUNG 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

BONG

Last Name

JUNG

Suffix

Business Name

BONG JUNG MD

Original Issue Date

06/13/1983

Effective Date

06/13/1983

Expiration Date

07/31/1987

City

STREATOR

State

Zip

61364

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006