JULIE DAN-PHUONG VAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

First Name

JULIE

Middle

DAN-PHUONG

Last Name

VAN

Suffix

Business Name

JULIE DAN-PHUONG VAN DO

Original Issue Date

10/04/2005

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023