PHONG D DANG 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

PHONG

Middle

Last Name

DANG

Suffix

Business Name

PHONG D DANG MD

Original Issue Date

12/12/2006

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

STERLING

State

Zip

61081

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023