TIANYU DONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

TIANYU

Last Name

DONG

Business Name

TIANYU DONG MD

Original Issue Date

04/27/2022

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023