VINCENT EDGAR FANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

VINCENT

Middle

EDGAR

Last Name

FANG

Suffix

Business Name

VINCENT EDGAR FANG MD

Original Issue Date

07/26/2000

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023