LANA CONG DO - Medical Doctor License in Illinois | # 125071206

LANA CONG DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071206

License Status

EXPIRED

Business

N

Title

DO

First Name

LANA

Last Name

CONG

Business Name

LANA CONG DO

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

11/19/2020