TANA CHONGSUWAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

TANA

Last Name

CHONGSUWAT

Business Name

TANA CHONGSUWAT MD

Original Issue Date

03/16/2023

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023