TERRY S CHONGULIA MD - Medical Doctor License in Illinois | # 125032872

TERRY S CHONGULIA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032872

License Status

EXPIRED

Business

N

First Name

TERRY

Middle

S

Last Name

CHONGULIA

Suffix

MD

Business Name

TERRY S CHONGULIA MD

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006