ILUMINADA ONG BETITA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061101

License Status

NOT RENEWED

Business

First Name

ILUMINADA ONG

Last Name

BETITA

Suffix

Business Name

ILUMINADA ONG BETITA MD

Original Issue Date

10/20/1980

Effective Date

10/20/1980

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006