NATHAN BOUNYONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161773

License Status

ACTIVE

Business

Title

First Name

NATHAN

Last Name

BOUNYONG

Business Name

NATHAN BOUNYONG DO

Original Issue Date

08/02/2022

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

07/07/2023