MORIAH MEEOCK BANG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

MORIAH

Middle

MEEOCK

Last Name

BANG

Suffix

Business Name

MORIAH MEEOCK BANG DO

Original Issue Date

05/09/2006

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2023