ANA VICTORIA FUNG-CAP DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

ANA

Middle

VICTORIA

Last Name

FUNG-CAP

Suffix

Business Name

ANA VICTORIA FUNG-CAP DO

Original Issue Date

10/02/1997

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

NEW PORT RICHIE

State

Zip

34654

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023