ALEC G CHAN-PONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

ALEC G

Last Name

CHAN-PONG

Suffix

Business Name

ALEC G CHAN-PONG MD

Original Issue Date

08/13/1990

Effective Date

08/13/1990

Expiration Date

07/31/1993

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011