SON PHONG LE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106903

License Status

ACTIVE

Business

First Name

SON

Middle

PHONG

Last Name

Suffix

Business Name

SON PHONG LE MD

Original Issue Date

05/09/2002

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

06/02/2023