KHAI NGO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****72

NOT RENEWED

N

KHAI

NGO

MD

KHAI NGO MD

06/22/1990

05/20/2014

07/31/2017

BELLEVILLE

IL

62226

SAINT CLAIR

II III IV V

N

11/01/2017