SAMUEL W ONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092772

License Status

NOT RENEWED

Business

First Name

SAMUEL W

Last Name

ONG

Suffix

Business Name

SAMUEL W ONG MD

Original Issue Date

05/23/1996

Effective Date

05/23/1996

Expiration Date

07/31/2002

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006