EUGENE G FONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058896

License Status

NOT RENEWED

Business

First Name

EUGENE G

Last Name

FONG

Suffix

Business Name

EUGENE G FONG MD

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

07/31/1996

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006