XUAN THOAI TRUONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

XUAN THOAI

Last Name

TRUONG

Suffix

Business Name

XUAN THOAI TRUONG MD

Original Issue Date

01/01/1997

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

DUNLAP

State

Zip

61525

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017