ROKY PHAN TRUONG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

ROKY

Middle

PHAN

Last Name

TRUONG

Business Name

ROKY PHAN TRUONG

Original Issue Date

12/29/2023

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2026