PHUNG KIM LUONG MD - Medical Doctor License in Oklahoma | # 036085371

PHUNG KIM LUONG MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085371

License Status

INACTIVE

Business

N

First Name

PHUNG KIM

Last Name

LUONG

Suffix

MD

Business Name

PHUNG KIM LUONG MD

Original Issue Date

09/17/1992

Effective Date

06/20/2011

Expiration Date

07/31/2014

State

OK

Ever Disciplined

N

LastModifiedDate

04/08/2014