CHANTHOU VONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

CHANTHOU

Last Name

VONG

Business Name

CHANTHOU VONG MD

Original Issue Date

11/12/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

HARVARD

State

Zip

60033

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023