TARATIP THUPVONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

TARATIP

Last Name

THUPVONG

Business Name

TARATIP THUPVONG MD

Original Issue Date

08/26/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023