WALTER C FONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062646

License Status

ACTIVE

Business

First Name

WALTER C

Last Name

FONG

Suffix

Business Name

WALTER C FONG MD

Original Issue Date

07/27/1981

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/01/2023