PAK KAU FUNG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

PAK KAU

Last Name

FUNG

Business Name

PAK KAU FUNG

Original Issue Date

07/30/1996

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023