STACY K TONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115748

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

TONG

Business Name

STACY K TONG

Original Issue Date

04/24/2006

Effective Date

05/23/2008

Expiration Date

07/31/2011

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011