DEAN KIMTON FONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

DEAN

Middle

KIMTON

Last Name

FONG

Business Name

DEAN KIMTON FONG MD

Original Issue Date

11/24/2025

Effective Date

11/24/2025

Expiration Date

07/31/2026

City

CRESTWOOD

State

Zip

60418

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/25/2025