NICHOLAS WEI WEN CHOONG MD - Medical Doctor License in Illinois | # 125047151

NICHOLAS WEI WEN CHOONG MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047151

License Status

CANCELLED

Business

N

First Name

NICHOLAS

Middle

WEI WEN

Last Name

CHOONG

Suffix

MD

Business Name

NICHOLAS WEI WEN CHOONG MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

State

IL

Specialty/Qualifier

Hematology & Oncology

Ever Disciplined

N

LastModifiedDate

09/22/2006