CHAO VANG DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004868

License Status

ACTIVE

Business

First Name

CHAO

Last Name

VANG

Suffix

DPM

Business Name

CHAO VANG DPM

Original Issue Date

06/05/1998

Effective Date

01/25/2025

Expiration Date

01/31/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/26/2025