CONG THANH LY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119457

License Status

NOT RENEWED

Business

First Name

CONG

Middle

THANH

Last Name

Suffix

Business Name

CONG THANH LY DO

Original Issue Date

09/28/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011