VAIJAYANTI P DUNUNG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000023

License Status

NOT RENEWED

Business

First Name

VAIJAYANTI P

Last Name

DUNUNG

Business Name

VAIJAYANTI P DUNUNG

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1984

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006