ALEXANDER PONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

ALEXANDER

Last Name

PONG

Business Name

ALEXANDER PONG DO

Original Issue Date

04/04/2025

Effective Date

04/04/2025

Expiration Date

07/31/2026

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2025