KENNETH H GONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106356

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

GONG

Suffix

Business Name

KENNETH H GONG MD

Original Issue Date

02/22/2002

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

Ever Disciplined

LastModifiedDate

06/10/2023