MAI KONG XIONG 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

MAI

Middle

KONG

Last Name

XIONG

Business Name

MAI KONG XIONG MD

Original Issue Date

02/19/2025

Effective Date

02/19/2025

Expiration Date

07/31/2026

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2025