HENRY K M BONG MD - Medical Doctor License in Wisconsin | # 036058425

HENRY K M BONG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058425

License Status

NOT RENEWED

Business

N

First Name

HENRY K M

Last Name

BONG

Suffix

MD

Business Name

HENRY K M BONG MD

Original Issue Date

03/16/1979

Effective Date

03/16/1979

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006