TARATIP THUPVONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121440

License Status

ACTIVE

Business

Title

First Name

TARATIP

Last Name

THUPVONG

Business Name

TARATIP THUPVONG MD

Original Issue Date

07/09/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2023