MICHAELIA VASILIA FOSSES VUONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152906

License Status

ACTIVE

Business

Title

First Name

MICHAELIA

Middle

VASILIA

Last Name

FOSSES VUONG

Business Name

MICHAELIA VASILIA FOSSES VUONG DO

Original Issue Date

05/07/2020

Effective Date

05/28/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/28/2023