CHONG H PAK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

CHONG

Middle

Last Name

PAK

Business Name

CHONG H PAK

Original Issue Date

10/20/2004

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

INVERNESS

State

Zip

60010

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023