ANITA L ONG Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093236

License Status

ACTIVE

Business

First Name

ANITA L

Last Name

ONG

Business Name

ANITA L ONG

Original Issue Date

06/18/1996

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

07/04/2023