CHANTE THANH TRINH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

First Name

CHANTE

Middle

THANH

Last Name

TRINH

Suffix

Business Name

CHANTE THANH TRINH MD

Original Issue Date

05/27/2004

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62902

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023