CHAO VANG DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

CHAO

Last Name

VANG

Suffix

DPM

Business Name

CHAO VANG DPM

Original Issue Date

07/14/1998

Effective Date

01/25/2025

Expiration Date

01/31/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025