TERRY S CHONGULIA MD - Medical Doctor License in Illinois | # 036096957

TERRY S CHONGULIA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096957

License Status

NOT RENEWED

Business

N

First Name

TERRY

Middle

S

Last Name

CHONGULIA

Suffix

MD

Business Name

TERRY S CHONGULIA MD

Original Issue Date

11/07/1997

Effective Date

11/07/1997

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006