MACLONG T TRAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

MACLONG

Middle

Last Name

TRAN

Business Name

MACLONG T TRAN

Original Issue Date

04/19/2007

Effective Date

07/22/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011