CHARLEY DING

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****64

ACTIVE

N

CHARLEY

DING

CHARLEY DING

06/28/2019

04/07/2023

07/31/2026

SOUTH BARRINGTON

IL

60010

COOK

PRACTITIONER

II III IV V

N

04/07/2023