ERIC JOSEPH FONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169281

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

JOSEPH

Last Name

FONG

Business Name

ERIC JOSEPH FONG DO

Original Issue Date

03/13/2024

Effective Date

03/13/2024

Expiration Date

07/31/2026

City

ALTA

State

Zip

83414

Ever Disciplined

LastModifiedDate

12/17/2023