HAZEL JANE LANGCAUON Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

HAZEL

Middle

JANE

Last Name

LANGCAUON

Business Name

HAZEL JANE LANGCAUON

Original Issue Date

11/17/2010

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

SHOREWOOD

State

Zip

60404

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023