MAI DANG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

MAI

Last Name

DANG

Business Name

MAI DANG MD

Original Issue Date

02/14/2022

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

ST. LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023