RAKA CHINDAVONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084061

License Status

ACTIVE

Business

Title

First Name

RAKA

Last Name

CHINDAVONG

Business Name

RAKA CHINDAVONG DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/07/2024