JENNIFER BUNGE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

JENNIFER

Last Name

BUNGE

Business Name

JENNIFER BUNGE

Original Issue Date

11/23/2020

Effective Date

01/18/2022

Expiration Date

03/01/2024

City

LOMBARD

State

Zip

60148

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025