NEPENTHE I FONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119602

License Status

ACTIVE

Business

First Name

NEPENTHE

Middle

Last Name

FONG

Suffix

Business Name

NEPENTHE I FONG MD

Original Issue Date

10/26/2007

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75219

Ever Disciplined

LastModifiedDate

07/06/2023