TSUNG P FONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046455

License Status

NOT RENEWED

Business

First Name

TSUNG P

Last Name

FONG

Suffix

Business Name

TSUNG P FONG MD

Original Issue Date

09/18/1972

Effective Date

09/18/1972

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006