JEFF V WONGSKHALUANG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130923

License Status

NOT RENEWED

Business

First Name

JEFF

Middle

Last Name

WONGSKHALUANG

Business Name

JEFF V WONGSKHALUANG

Original Issue Date

07/23/2012

Effective Date

07/23/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014