ANNA LIZA ONG CO MD - Medical Doctor License in Illinois | # 125048789

ANNA LIZA ONG CO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048789

License Status

EXPIRED

Business

N

First Name

ANNA LIZA

Middle

ONG

Last Name

CO

Suffix

MD

Business Name

ANNA LIZA ONG CO MD

Original Issue Date

08/12/2004

Effective Date

08/12/2004

Expiration Date

08/11/2006

State

IL

Specialty/Qualifier

Interventional Neuroradiology

Ever Disciplined

N

LastModifiedDate

09/22/2006