JOHN NKI FONGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144324

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

NKI

Last Name

FONGE

Suffix

Business Name

JOHN NKI FONGE MD

Original Issue Date

09/14/2017

Effective Date

05/04/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61637

Ever Disciplined

LastModifiedDate

11/30/2023