KA BAO VANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

KA BAO

Last Name

VANG

Business Name

KA BAO VANG MD

Original Issue Date

07/19/2022

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023