MICHAELIA VASILIA FOSSES VUONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

MICHAELIA

Middle

VASILIA

Last Name

FOSSES VUONG

Business Name

MICHAELIA VASILIA FOSSES VUONG DO

Original Issue Date

05/20/2020

Effective Date

05/28/2023

Expiration Date

07/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2023