SOONTRI JONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050880

License Status

NOT RENEWED

Business

First Name

SOONTRI

Last Name

JONG

Suffix

Business Name

SOONTRI JONG MD

Original Issue Date

03/21/1975

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017