MICHAEL VAEWHONGS MD 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

MICHAEL

Last Name

VAEWHONGS

Suffix

Business Name

MICHAEL VAEWHONGS MD

Original Issue Date

05/31/2000

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

LOVES PARK

State

Zip

61111

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023