VIVENCIO R BATTUNG 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

VIVENCIO R

Last Name

BATTUNG

Suffix

Business Name

VIVENCIO R BATTUNG MD

Original Issue Date

01/01/1997

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/11/2017