ANNA WAN SUM KONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099440

License Status

NOT RENEWED

Business

First Name

ANNA WAN

Middle

SUM

Last Name

KONG

Suffix

Business Name

ANNA WAN SUM KONG MD

Original Issue Date

12/29/1998

Effective Date

12/29/1998

Expiration Date

07/31/2002

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006