PANOM PHOUNGCHERDCHOO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045322

License Status

ACTIVE

Business

First Name

PANOM

Last Name

PHOUNGCHERDCHOO

Suffix

Business Name

PANOM PHOUNGCHERDCHOO MD

Original Issue Date

02/04/1972

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

08/03/2023