MARK K JUNDANIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

MARK K

Last Name

JUNDANIAN

Suffix

Business Name

MARK K JUNDANIAN MD

Original Issue Date

08/15/1986

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023