QUANG TRONG TRUNG LE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

QUANG TRONG TRUNG

Last Name

Business Name

QUANG TRONG TRUNG LE MD

Original Issue Date

12/14/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023