EVAN S ONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111800

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

Last Name

ONG

Business Name

EVAN S ONG

Original Issue Date

07/08/2004

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

TUCSON

State

Zip

85724

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/17/2014