JIM JIANTAO HONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114185

License Status

ACTIVE

Business

First Name

JIM

Middle

JIANTAO

Last Name

HONG

Suffix

Business Name

JIM JIANTAO HONG MD

Original Issue Date

07/14/2005

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

04/08/2023