I-YEH GONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102604

License Status

NOT RENEWED

Business

First Name

I-YEH

Last Name

GONG

Suffix

Business Name

I-YEH GONG MD

Original Issue Date

06/02/2000

Effective Date

06/02/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006