JACK C LEONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017094

License Status

EXPIRED

Business

First Name

JACK

Middle

Last Name

LEONG

Suffix

Business Name

JACK C LEONG MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

05/07/1986

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006